Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A142341 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | 59416 | TN |
NPI | 1780927855 |
---|---|
Provider Name | Kathleen P Collins |
First Address | Memphis, TN 38105-4607 |
Second Address | Memphis, TN 38105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 23/07/2019 |