Basic Information
Provider Information
NPI: 1760830897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THURMAN
FirstName: KATHERINE
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 415000-MSC8146
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372418146
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706198
Practice Location
Address1: 7503 S NORTHSHORE DR
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379198002
CountryCode: US
TelephoneNumber: 8655311300
FaxNumber: 8654709190
Other Information
ProviderEnumerationDate: 05/31/2016
LastUpdateDate: 05/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X63032TNY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XE-12604ARN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home