Individual
KIM KEINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1907 W MORRIS BLVD, STE G HEALTHSTAR PHYSICIANS, MORRISTOWN, TN 37813
(423) 318-0014
(423) 318-2595
Mailing address
1907 W MORRIS BLVD, STE G HEALTHSTAR PHYSICIANS, MORRISTOWN, TN 37813
(423) 318-0014
(423) 318-2595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506038
—
TN
05
—
3687172
—
TN
Enumeration date
05/15/2006
Last updated
01/21/2022
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