Individual
KATHLEEN D HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
925 N KNOB CREEK RD, SEYMOUR, TN 37865-6039
(865) 368-4556
Mailing address
925 N KNOB CREEK RD, SEYMOUR, TN 37865-6039
(865) 368-4556
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
RN0000109236
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
041310
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12557517
PHCS
—
05
—
200952870
—
IN
05
—
3073801
—
OH
01
—
61107736900137366398
HEALTHNET
—
05
—
7100048360
—
KY
Enumeration date
07/18/2005
Last updated
03/22/2016
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