Provider Demographics
NPI:1518563444
Name:FOX MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:FOX MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:AFNP
Authorized Official - Phone:931-735-6003
Mailing Address - Street 1:742 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2828
Mailing Address - Country:US
Mailing Address - Phone:931-735-6003
Mailing Address - Fax:931-735-6152
Practice Address - Street 1:742 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2828
Practice Address - Country:US
Practice Address - Phone:931-735-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty