Provider Demographics
NPI:1316085186
Name:HECK, KARLENE (RN)
Entity type:Individual
Prefix:
First Name:KARLENE
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37777-4616
Mailing Address - Country:US
Mailing Address - Phone:865-215-5500
Mailing Address - Fax:865-215-5505
Practice Address - Street 1:405 DANTE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-9719
Practice Address - Country:US
Practice Address - Phone:865-215-5500
Practice Address - Fax:865-215-5500
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000037007163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse