Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 44564 | TN |
N | 207V00000X | Obstetrician & Gynecologist | ME91248 | FL |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 44564 | TN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME91248 | FL |
NPI | 1134177124 |
---|---|
Provider Name | Katheen A Mayor-Lynn |
First Address | Tullahoma, TN 37388-4756 |
Second Address | Tullahoma, TN 37388-4756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276411300 | (05) | FL |
I63832 | (02) |