NPI Code Detail JSON Logo

1427240175 NPI number — KATHLEEN ANNE GOYNE MD

NPI Number: 1427240175
Health Care Provider/Practitioner: KATHLEEN ANNE GOYNE MD

Information about “1427240175” NPI (KATHLEEN ANNE GOYNE MD) exists in 1427240175 in HTML format HTML  |  1427240175 in plain Text format TXT  |  1427240175 in PDF (Portable Document Format) PDF  |  1427240175 in an XML format XML  formats.

NPI Number : 1427240175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427240175",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOYNE",
    "FirstName": "KATHLEEN",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1587",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30722-1587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-281-8490",
    "MailingAddressFaxNumber": "706-529-8487",
    "FirstLinePracticeLocationAddress": "1109 BURLEYSON RD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALTON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30720-3094",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-281-8490",
    "PracticeLocationAddressFaxNumber": "706-529-8487",
    "EnumerationDate": "08/16/2007",
    "LastUpdateDate": "01/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "MD024935",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "91524",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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