Doctor Name: | DR. DAVID KENT TUTOR |
NPI Number: | 1629010749 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 020952 |
Business Practice Address: | 1819 W Clinch Ave Suite 100 Knoxville, TN - 379162434 |
Business Phone Number: | 8655245365 |
Business Fax Number: | 8656738007 |
Mailing Address: | Po Box 32569, KNOXVILLE |
State: | TN |
Postal Code: | 379302569 |
Phone Number: | 8656940062 |
Fax Number: | 8656947907 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 020952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |