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KINGSPORT PRIMARY HEALTHCARE LLC NPI 1679074892


NPI Information

NPI: 1679074892
Provider Name: KINGSPORT PRIMARY HEALTHCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1526 BRIDGEWATER LN
KINGSPORT, TN
ZIP 37660
Phone: (423) 246-0033
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KINGSPORT PRIMARY HEALTHCARE, LLC is a family medicine in Kingsport, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KINGSPORT PRIMARY HEALTHCARE, LLC NPI is 1679074892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1526 BRIDGEWATER LN
KINGSPORT, TN
ZIP 37660-106
Phone: (423) 246-0033
Fax: (423) 245-0034

The provider's authorized official is Stan Mclain .
The authorized official title is Medical Director and has the following contact phone number (313) 363-6325.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD39507TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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