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Katherine A Bertram, M.D.

Internal Medicine in Cookeville, TN. Individual provider (NPI-1).

NPI number1689668790
StatusActive
Last updated in NPPESJun 29, 2020

Details

NPI
1689668790
Entity type
Individual (NPI-1)
Name
Katherine A Bertram
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2005
Certification date
Jun 29, 2020
Last updated
Jun 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine20230TNYes

Practice location

128 N Whitney Ave
Cookeville, TN 38501-2493

Phone 931-783-4600 · Fax 931-783-4699

Mailing address

128 N Whitney Ave
Cookeville, TN 38501-2493

Phone 931-783-5999 · Fax 931-783-5898

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