Provider Demographics
NPI:1073569695
Name:CATNEY, KEVIN GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:GUY
Last Name:CATNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 WEST ANDREW JOHNSON HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814
Mailing Address - Country:US
Mailing Address - Phone:423-839-1200
Mailing Address - Fax:423-839-1250
Practice Address - Street 1:4845 WEST ANDREW JOHNSON HIGHWAY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814
Practice Address - Country:US
Practice Address - Phone:423-839-1200
Practice Address - Fax:423-839-1250
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39811207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4125073OtherBLUE CROSS
TN3814635Medicaid
TNP00329391OtherRAILROAD MEDICARE
TN3814635Medicare PIN