Individual
MISS KATHERINE PAIGE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-4006
(423) 794-1800
(423) 794-1801
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-5742
(423) 723-2669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
02/18/2026
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