KSP Health - TN LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KSP HEALTH - TN LLC

Practice address

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306

Phone

(316) 516-2853

NPI assigned

Jul 3, 2024

Organization subpart

Yes

Parent organization

KSP HEALTH - TN LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Muthukumar Vellaichamy, MD

Title

Sole Member

Phone

(316) 516-2853

Specialties & licenses 1

Addresses

Part of

KSP Health - TN LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1154167666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 E CENTRAL AVE STE 183",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061923",
            "telephone_number": "316-516-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306",
            "telephone_number": "316-516-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSP HEALTH - TN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KSP HEALTH - TN LLC",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "VELLAICHAMY",
        "authorized_official_first_name": "MUTHUKUMAR",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "316-516-2853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kaye Kruger, PMHNP-BC, MSN, RN
• John K. Krusenklaus, PT
• Krystal Barton,OD,LLC
• Jamie Kryter, COUNSELOR
• Mark S. Kryter, LCSW
• Thomas T Kubota, MD
• Judith Kuczmarski, RN
• Justin Kuffler, OT
• Amy Kuhn
• Jennifer Marie Kuhn, LCSW

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.