Martin, Katherine J

Martin, Katherine J is an individual health care provider with primary practice located at 616 Smithview Dr , Maryville TN 37803-6100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Katherine J can be contacted via phone (865) 379-2277.

Contact Information

Primary practice address
616 Smithview Dr Maryville TN 37803-6100
Phone: (865) 379-2277
Fax: (865) 738-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Tennessee

Profile Details

NPI number 1437189990
LBN Legal business name Martin, Katherine J
Credentials MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2023 - about 3 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 1437189990 NPPES
Tennessee Other RN0000093981 RN LICENSE
Tennessee Other TN0105 RN LICENSE
Tennessee Other 3389 RN LICENSE

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