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NPI Code Detail

MEDICARE: KATHLEEN DUFFY SANEFORD FNP-BC

MEDICARE: KATHLEEN DUFFY SANEFORD FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN20408TN

General Provider Information

NPI Number : 1386030492
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN DUFFY SANEFORD FNP-BC
Provider Business Mailing Address
First Line : 6350 W ANDREW JOHNSON HWY
Second Line : DEPARTMENT 100
City : TALBOTT
State : TN
Zip : 37877-8605
Country : US
Telephone Number : 800-355-3565
Fax Number : 423-714-2355
Provider Business Practice Location Address
First Line : 2202 MARTIN LUTHER KING JR AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1570
Country : US
Telephone Number : 865-522-6097
Fax Number : 865-540-1615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 04/29/2024

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Directions to “ KATHLEEN DUFFY SANEFORD FNP-BC” Practice Location

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