Individual provider · Type 1 NPI

Kathryn Backus, NP

Pediatric Nurse Practitioner · Kingsport, TN

NPI number 1508869348 Active

Practice location

2033 Meadowview Ln, Ste 200
Kingsport, TN 37660-7569

Fax (423) 857-2261

Mailing address

PO Box 9
Kingsport, TN 37662-0009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPN 6139 (TN)
Pediatric Nurse Practitioner 363LP0200X0024070828 (VA)

Pediatric Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1508869348

Kathryn Backus, NP's National Provider Identifier is 1508869348, issued on May 24, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kingsport, TN. The record was last updated on Aug 27, 2009.