Healthcare Provider Details

I. General information

NPI: 1588380430
Provider Name (Legal Business Name): KEVIN CATNEY, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4845 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-1023
US

IV. Provider business mailing address

4845 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-1023
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 TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN GUY CATNEY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 423-839-1200