Provider Demographics
NPI:1295715407
Name:FRANKLIN, KATHY (MD)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KATHY
Other - Middle Name:S
Other - Last Name:FRANKLIN
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2911 ESSARY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2468
Mailing Address - Country:US
Mailing Address - Phone:865-288-3754
Mailing Address - Fax:865-243-2250
Practice Address - Street 1:2911 ESSARY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2468
Practice Address - Country:US
Practice Address - Phone:865-288-3754
Practice Address - Fax:865-243-2250
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3875021Medicaid
TN103I085924Medicare PIN