Individual
KATHERINE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 DEER XING, VONORE, TN 37885-2133
(423) 884-1925
(423) 884-1926
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3546
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036723
—
TN
Enumeration date
04/19/2018
Last updated
11/04/2025
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