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Individual

MS. KATHY LYN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4853 CHAMBLISS AVE, KNOXVILLE, TN 37919-5122
(865) 851-9366
(865) 851-9367
Mailing address
PO BOX 10565, KNOXVILLE, TN 37939-0565
(865) 851-9366
(865) 851-9367

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1979
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3654035
CIGNA
TN
05
3654035
TN
01
4006505
BLUECROSSBLUESHIELD
TN
Enumeration date
07/18/2006
Last updated
08/31/2007
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