Mrs. Katherine Anne Upchurch
Sports Medicine
6191 Park Ave
Memphis
, Tennessee 38119-5399
Mrs. Katherine Anne Upchurch
Sports Medicine
6191 Park Ave
Memphis
, Tennessee 38119-5399
(901) 260-1378
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mrs. Katherine Anne Upchurch
- 6191 Park Ave
- Memphis, TN
- Zip : 38119-5399
- Phone : (901) 260-1378
Second Address
- Mrs. Katherine Anne Upchurch
- 6191 Park Ave
- Memphis, TN
- Zip : 38119-5399
- Phone : (901) 260-1378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 1209 | TN |
| Y | 213ES0000X | Sports Medicine | 1209 | TN |
National Provider Identifier
| NPI | 1306470042 |
|---|---|
| Provider Name | Mrs. Katherine Anne Upchurch |
| First Address | Memphis, TN 38119-5399 |
| Second Address | Memphis, TN 38119-5399 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2020 |
| Last Update Date | 02/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1209 | STATE OF TENNESSEE DIVISION OF HEALTH RELATED BOARDS (01) | TN |
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.