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NPI Code Detail

MEDICARE: MS. KATHY E HANLINE MSN, APRN

MEDICARE: MS. KATHY E HANLINE MSN, APRN
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 PractitionerAPN0000006764TN

General Provider Information

NPI Number : 1700861317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHY E HANLINE MSN, APRN
Provider Business Mailing Address
First Line : 103 W MELBOURNE RD
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-8219
Country : US
Telephone Number : 865-482-3715
Fax Number : 865-215-5450
Provider Business Practice Location Address
First Line : 140 DAMERON AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-6413
Country : US
Telephone Number : 865-215-5451
Fax Number : 865-215-5450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 07/08/2007

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