Kathleen Mary Callahan, MS ED
Individual provider Active NPI Other Technician · Bristol, TN
NPI 1386769396 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386769396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 498 Industrial Drive
Bristol, TN 37620 - Phone
- (423) 878-1600
- Fax
- (423) 878-1606
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Past | Accepting new patients | |
| Frontier Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
498 Industrial Drive
Bristol, TN 37620
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Bristol, TN
- James Travis Burt
- Robin Malinda Butler
- Jack Evans Butterworth Jr.
- John Gordon Byers Jr.
- Catherine Caldwell
- Camb Op LLC
- Cambridge Care Center LLC
- Michael C Cameron
- Campbell Clinic PC
- Campbell Clinic PC
All providers in Bristol, TN · Other Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.