| NPI | 1073638144 |
|---|---|
| Former Legal Business Name | KINGSPORT KIDNEY HEALTH, PC |
| Entity Type | Organization |
| Authorized Contact | MARKALENE EARLES Practice Manager 423-245-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 021779) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-01-28 |