Gardner, Katherine R
Gardner, Katherine R is an individual health care provider with primary practice located at 1924 Alcoa Hwy Box U109, Knoxville TN 37920-1511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Gardner, Katherine R can be contacted via phone (865) 544-9220.Contact Information
Primary practice address
1924 Alcoa Hwy Box U109
Knoxville TN 37920-1511
Phone: (865) 544-9220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 24141 | Tennessee |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 24141 | Tennessee |
Profile Details
| NPI number | 1366444333 |
|---|---|
| LBN Legal business name | Gardner, Katherine R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366444333 | NPPES |
| Tennessee | Other | 3036004 | BLUE CROSS |
| Tennessee | MEDICAID | 3801628 | BLUE CROSS |
| Tennessee | MEDICAID | 64924137 | BLUE CROSS |
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