Backus, Kathryn

Backus, Kathryn is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Backus, Kathryn can be contacted via phone (423) 857-2260.

Contact Information

Primary practice address
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569
Phone: (423) 857-2260
Fax: (423) 857-2261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN 6139 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024070828 Virginia

Profile Details

NPI number 1508869348
LBN Legal business name Backus, Kathryn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 27th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508869348 NPPES
Virginia MEDICAID 007787031
Virginia MEDICAID 3348978
Virginia MEDICAID PENDING

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