Bielak, Kenneth Michael
Bielak, Kenneth Michael is an individual health care provider with primary practice located at 1924 Alcoa Hwy Graduate School Of Medicine 1St Floor, Knoxville TN 37920-1511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bielak, Kenneth Michael can be contacted via phone (864) 305-9350.Contact Information
Primary practice address
1924 Alcoa Hwy Graduate School Of Medicine 1St Floor
Knoxville TN 37920-1511
Phone: (864) 305-9350
Fax: (865) 305-8681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 24731 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024731 | Tennessee |
Profile Details
| NPI number | 1861459836 |
|---|---|
| LBN Legal business name | Bielak, Kenneth Michael |
| Credentials | MD, ABFP, MA, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | May 15th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861459836 | NPPES |
| Tennessee | Other | 3373352 | MEDICARE GRP UFP |
| Tennessee | Other | 5106119 | MEDICARE GRP UFP |
| Tennessee | Other | 1689631137 | MEDICARE GRP UFP |
| Tennessee | Other | 3373352 | MEDICARE GRP UFP |
| Tennessee | Other | 100010518 | MEDICARE GRP UFP |
| Tennessee | MEDICAID | 3079423 | MEDICARE GRP UFP |
| Tennessee | Other | 01-41248 | MEDICARE GRP UFP |
| Tennessee | Other | 110129782 | MEDICARE GRP UFP |
| Tennessee | Other | 3023732 | MEDICARE GRP UFP |
| Tennessee | Other | 5164017 | MEDICARE GRP UFP |
| Tennessee | Other | TN0155 | MEDICARE GRP UFP |
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