Most Relevant Information
Provider Data
| NPI Number: | 1003182239 |
| Provider Name: | MAGGIE ELLINE KECK FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 16632 |
Most Important Dates
| Enumeration Date: | 04/02/2012 |
| Last Updated: | 03/29/2024 |
Provider Practice Location
415 CATLETT RD
SEVIERVILLE
TN
378625901
Practice Location Phone/Fax
| Phone: | 8653307425 |
| Fax: | 8653335848 |
Provider Mailing Location
9325 S NORTHSHORE DR
KNOXVILLE
TN
379226548
Provider Mailing Phone/Fax
| Phone: | 8653307425 |
| Fax: | 8653335848 |