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Contact Information

KEILAH I GONZALEZ BONILLA, MD
9546 S NORTHSHORE DR
KNOXVILLE, TN37922-5813
 Phone: 865-647-3440
 Fax: 865-647-2683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEILAH I GONZALEZ BONILLA · (Female)

NPI # 1114128725
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2007
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME96511
  • TN License # 45347
  • TN Medicaid 1521768
Hospital affiliation(s)
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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