Provider Demographics
NPI:1740439132
Name:KATHLEEN A. GOYNE, M.D.,P.C.
Entity type:Organization
Organization Name:KATHLEEN A. GOYNE, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-588-4044
Mailing Address - Street 1:6906 KINGSTON PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5704
Mailing Address - Country:US
Mailing Address - Phone:865-588-4044
Mailing Address - Fax:865-588-6990
Practice Address - Street 1:6906 KINGSTON PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5704
Practice Address - Country:US
Practice Address - Phone:865-588-4044
Practice Address - Fax:865-588-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty