Healthcare Provider Details

I. General information

NPI: 1073569695
Provider Name (Legal Business Name): KEVIN GUY CATNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4845 WEST ANDREW JOHNSON HIGHWAY
MORRISTOWN TN
37814
US

IV. Provider business mailing address

4845 WEST ANDREW JOHNSON HIGHWAY
MORRISTOWN TN
37814
US

V. Phone/Fax

Practice location:
  • Phone: 423-839-1200
  • Fax: 423-839-1250
Mailing address:
  • Phone: 423-839-1200
  • Fax: 423-839-1250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39811
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number39811
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: