NPI 1003259516
Jacqueline Katko, BS
Practice location
- Address
- 109 W Watauga Ave, Johnson City, TN 37604-5621
- Phone
- (423) 232-2600
- Fax
- (423) 467-3644
- Mailing address
- 1167 Spratlin Park Dr, Gray, TN 37615-6205
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003259516
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2013
- Record last updated
- 15 Apr 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.