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NPI Code Detail

MEDICARE: KATHRYN JEAN KLOPFENSTEIN MD

MEDICARE: KATHRYN JEAN KLOPFENSTEIN MD
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
12080P0207XPediatric Hematology & Oncology Physician35059899OH

General Provider Information

NPI Number : 1437141843
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN JEAN KLOPFENSTEIN MD
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-433-6200
Fax Number : 423-433-6202
Provider Business Practice Location Address
First Line : 400 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6035
Country : US
Telephone Number : 423-433-6200
Fax Number : 423-433-6202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 08/28/2013

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