Provider Demographics
NPI:1841278413
Name:PATE, JOHN KIRBY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KIRBY
Last Name:PATE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:109 INTERNATIONAL DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1761
Mailing Address - Country:US
Mailing Address - Phone:615-567-6527
Mailing Address - Fax:615-567-6756
Practice Address - Street 1:109 INTERNATIONAL DR
Practice Address - Street 2:SUITE SUITE 240
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1761
Practice Address - Country:US
Practice Address - Phone:615-301-7000
Practice Address - Fax:615-301-7001
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2015-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD125952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB04731Medicare UPIN
TN3031685Medicare ID - Type Unspecified