Individual
KATHRYN M LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
RN123204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928044
—
TN
01
—
39280441
MEDICARE
TN
01
—
4159432
BCBS OF TN
TN
01
—
7646540
AETNA
TN
Enumeration date
11/17/2005
Last updated
01/26/2008
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