Chism, Kathy N

Chism, Kathy N is an individual health care provider with primary practice located at 201 E Emory Rd , Powell TN 37849-4016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chism, Kathy N can be contacted via phone (865) 938-3627.

Contact Information

Primary practice address
201 E Emory Rd Powell TN 37849-4016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30989 Tennessee

Profile Details

NPI number 1710929484
LBN Legal business name Chism, Kathy N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710929484 NPPES
Tennessee MEDICAID 3001800
Tennessee Other 080158114

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