Individual
KATHERINE A BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
Mailing address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-5999
(931) 783-5898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20230
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511233
—
TN
05
—
3051927
—
TN
05
—
3723270
—
TN
05
—
PENDING
—
TN
Enumeration date
09/02/2005
Last updated
06/29/2020
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