Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Moats Fraley, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205681186

Katelyn Moats Fraley, DO is a Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

102 E Ravine Rd
Kingsport, TN 37660-3814
Phone: (423) 245-9600
Fax: (423) 245-9634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205681186
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address102 E Ravine Rd, Kingsport, TN 37660-3814

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