Dr. Cathleen Connie Suto
Obstetrician & Gynecologist
550 Sunset Trl
Jellico
, Tennessee 37762-2343
Dr. Cathleen Connie Suto
Obstetrician & Gynecologist
550 Sunset Trl
Jellico
, Tennessee 37762-2343
(423) 784-8358
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Cathleen Connie Suto
- 107 S Main St P.o. Box 540
- Jellico, TN
- Zip : 37762-2154
- Fax : (423) 784-8358
- Phone : (423) 784-8492
Second Address
- Dr. Cathleen Connie Suto
- 550 Sunset Trl
- Jellico, TN
- Zip : 37762-2343
- Fax : (423) 784-6185
- Phone : (423) 784-5771
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Is Dr. Cathleen Connie Suto a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 41746 | KY |
| Y | 207V00000X | Obstetrician & Gynecologist | 43450 | TN |
National Provider Identifier
| NPI | 1013902527 |
|---|---|
| Provider Name | Dr. Cathleen Connie Suto |
| First Address | Jellico, TN 37762-2154 |
| Second Address | Jellico, TN 37762-2343 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 21/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0297024 | KY MEDICARE (01) | KY |
| 41746 | STATE LICENSE (01) | KY |
| 43450 | STATE LICENSE (01) | TN |
| 7100065240 | (05) | KY |
| FS0838738 | DEA (01) | TN |
| FS1038430 | DEA (01) | KY |
| VAD000 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.