Basic Information
Provider Information
NPI: 1801425525
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHILLING
FirstName: KATHRYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1840 MEDICAL CENTER PKWY STE 403
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371293237
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 920 MADISON AVE STE 447
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381033438
CountryCode: US
TelephoneNumber: 9014485814
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2020
LastUpdateDate: 05/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4657TNY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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