Provider Demographics
NPI:1205297124
Name:DINH, KATHRYN T (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:T
Last Name:DINH
Suffix:
Gender:F
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:PO BOX 4011
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-0011
Mailing Address - Country:US
Mailing Address - Phone:423-818-9790
Mailing Address - Fax:423-697-7696
Practice Address - Street 1:5104 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3932
Practice Address - Country:US
Practice Address - Phone:423-818-9790
Practice Address - Fax:423-697-7696
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-20
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63463207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism