Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD28234 | TN |
NPI | 1497759773 |
---|---|
Provider Name | Dr. Kenneth F Cofer |
First Address | Knoxville, TN 37916-2300 |
Second Address | Knoxville, TN 37916-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2005 |
Last Update Date | 24/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1506926 | (05) | TN |
3372427 | (05) | TN |
4243363 | BCBST (01) | TN |
G37945 | (02) | TN |