Healthcare Provider Details

I. General information

NPI: 1760830897
Provider Name (Legal Business Name): KATHERINE N THURMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7503 S NORTHSHORE DR
KNOXVILLE TN
37919-8002
US

IV. Provider business mailing address

PO BOX 415000-MSC8146
NASHVILLE TN
37241-8146
US

V. Phone/Fax

Practice location:
  • Phone: 865-531-1300
  • Fax: 865-470-9190
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number63032
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-12604
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: