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

Kurt Werner Wodtke, PA

Individual provider Physician Assistant · NPI 1952238065

Kurt Werner Wodtke, PA is a Physician Assistant in Knoxville, Tennessee. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1819 Clinch Ave Ste 100
Knoxville, TN 37916-2435
Phone: (865) 690-4861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7105 (TN)

Record details

NPI number1952238065
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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