Healthcare Provider Details

I. General information

NPI: 1740439132
Provider Name (Legal Business Name): KATHLEEN A. GOYNE, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6906 KINGSTON PIKE SUITE 200
KNOXVILLE TN
37919-5704
US

IV. Provider business mailing address

6906 KINGSTON PIKE SUITE 200
KNOXVILLE TN
37919-5704
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-4044
  • Fax: 865-588-6990
Mailing address:
  • Phone: 865-588-4044
  • Fax: 865-588-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN A GOYNE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-588-4044