Individual
KATHERINE CLARK RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8975 EXECUTIVE PARK DR., SUITE 200, KNOXVILLE, TN 37923-3624
(865) 691-4100
(865) 691-6178
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013463
—
TN
Enumeration date
02/05/2015
Last updated
02/25/2020
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