NPI 1508869348 · live from the CMS NPI Registry
Kathryn Backus, NP
Nurse Practitioner, Pediatrics in Kingsport, TN. National Provider Identifier 1508869348, active.
NPI record
| NPI | 1508869348 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660 |
| Practice phone | 423-857-2260 |
| Mailing address | Po Box 9, Kingsport, TN 37662 |
| Enumerated | May 24, 2005 |
| Last updated | August 27, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APN 6139 (TN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 0024070828 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.