Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4289 | TN |
N | 208600000X | Surgeon | 4289 | TN |
Y | 2086X0206X | Surgical Oncologist | 4289 | TN |
NPI | 1154681138 |
---|---|
Provider Name | Dr. Ana Kaye Wilson |
First Address | Knoxville, TN 37950-2948 |
Second Address | Knoxville, TN 37916-2435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 24/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q068336 | (05) | TN |