Kathryn Backus is a Pediatrics in Kingsport, Tennessee. Kathryn Backus practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathryn Backus is 1508869348. The last update date is 2009-08-27.
Kathryn Backus's current location address is 2033 Meadowview Ln, Kingsport, Tennessee. You can contact this provider via phone number 4238572260 and fax number 4238572261. The mailing address for Kathryn Backus is 2033 Meadowview Ln, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Backus |
|---|---|
| Address | 2033 Meadowview Ln, Kingsport, Tennessee |
| Phone Number | 4238572260 |
| Fax Number | 4238572261 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1508869348 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2009-08-27 |
Provider Mailing Address Detail
| Address | 2033 Meadowview Ln |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 3766075690 |
| Phone Number | 4238572260 |
| Fax Number | 4238572261 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | APN 6139 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7787031 | VA | -- | |
| 3348978 | TN | -- | |
| PENDING | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathryn Backus by the Centers for Medicare & Medicaid Services (CMS)?
The Kathryn Backus has been assigned the NPI (National Provider Identifier) 1508869348. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kathryn Backus's facilities are geographically located?
The facilities of Kathryn Backus are physically situated at the following location: 2033 Meadowview Ln, Kingsport, TN, 3766075690.
What is Kathryn Backus's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathryn Backus's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Kathryn Backus receive the assignment of its 1508869348 from the Centers for Medicare & Medicaid Services?
The Kathryn Backus was issued its 1508869348 by the Centers for Medicare & Medicaid Services on 2005-05-24.
As of what date were the Kathryn Backus's details last updated?
The information pertaining to the Kathryn Backus, including its address, specialty, and other details, was most recently updated on 2009-08-27.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX