Individual
KATIE M PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1526 BRIDGEWATER LN STE 100, KINGSPORT, TN 37660-4106
(423) 583-0803
(423) 732-7014
Mailing address
1526 BRIDGEWATER LN STE 100, KINGSPORT, TN 37660-4106
(423) 583-0803
(423) 732-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4833
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
04/08/2026
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