Individual
MRS. KATHRYN LEA COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9125 CROSS PARK DR, SUITE 200, KNOXVILLE, TN 37923-4564
(865) 632-5900
Mailing address
9125 CROSS PARK DR, SUITE 200, KNOXVILLE, TN 37923-4564
(865) 632-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21611
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023940
—
TN
Enumeration date
09/12/2016
Last updated
02/21/2018
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