Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Knoxville Integrative Medical Center PLLC

Organization Emergency Medicine Physician · NPI 1013310762

Knoxville Integrative Medical Center PLLC is an Emergency Medicine Physician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9313 S Northshore Dr
Knoxville, TN 37922-6548
Phone: (865) 531-6454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24689 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 37682 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 2302 (TN)

Record details

NPI number1013310762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Stasney — Owner · (865) 531-6454
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 8, 2014
Mailing address9313 S Northshore Dr, Knoxville, TN 37922-6548

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