NPI

Kathryn Lee Maclucas

NPI 1528212677

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
ATC, LAT
Type
Individual
Enumeration date
2008-11-14
Last updated
2008-11-14

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Specialties

Licenses

License TN
1040

Location

Practice location
4180 Weaver Pike, Sullivan East High School
City
Bluff City TN
Postal code
37618-2031
Phone
(423) 416-2121

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Bluff City, TN. 27 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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