Individual
KATHERINE COLLEEN BRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-7000
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4823
TN
208000000X
Pediatrics Physician
65373
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720441926
—
MN
Enumeration date
04/04/2016
Last updated
09/20/2022
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