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Individual

KATHRYN CYRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 N STATE OF FRANKLIN RD FL GROUND, JOHNSON CITY, TN 37604-6056
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
73439
TN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
73439
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q104264
TN
Enumeration date
04/08/2019
Last updated
08/04/2025
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