MEDICARE: KATHLEEN A. GOYNE, M.D.,P.C.

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1740439132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN A. GOYNE, M.D.,P.C.

Provider Business Mailing Address
First Line	:	6906 KINGSTON PIKE
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5704
Country	:	US
Telephone Number	:	865-588-4044
Fax Number	:	865-588-6990

Provider Business Practice Location Address
First Line	:	6906 KINGSTON PIKE
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5704
Country	:	US
Telephone Number	:	865-588-4044
Fax Number	:	865-588-6990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHLEEN A GOYNE
Credential	:	M.D.
Telephone Number	:	865-588-4044

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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