Most Relevant Information
Provider Data
| NPI Number: | 1003566464 |
| Provider Name: | KATHERINE BONNER KAAK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
1928 ALCOA HWY
KNOXVILLE
TN
379201502
Practice Location Phone/Fax
| Phone: | 8653058787 |
| Fax: |
Provider Mailing Location
1928 ALCOA HIGHWAY
POB B 127
KNOXVILLE
TN
37920
Provider Mailing Phone/Fax
| Phone: | 8653058787 |
| Fax: | 8653058261 |