Most Relevant Information
Provider Data
| NPI Number: | 1003259516 |
| Provider Name: | JACQUELINE KATKO BS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2013 |
| Last Updated: | 04/15/2013 |
Provider Practice Location
109 W WATAUGA AVE
JOHNSON CITY
TN
376045621
Practice Location Phone/Fax
| Phone: | 4232322600 |
| Fax: | 4234673644 |
Provider Mailing Location
1167 SPRATLIN PARK DR
GRAY
TN
376156205
Provider Mailing Phone/Fax
| Phone: | 4234673600 |
| Fax: | 4234673644 |