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1356391098
KEVIN D MISISCHIA
KINGSPORT, TN
NPI
1356391098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN DO1254)
Enumeration Date
2006-05-11
Last Update Date
2020-12-05
Business Address
KEVIN D MISISCHIA DO
444 CLINCHFIELD ST STE 2800
KINGSPORT, TN 37660-3858
Phone number: 423-230-2801
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Mailing Address
KEVIN D MISISCHIA DO
444 CLINCHFIELD STREET SUITE 201
KINGSPORT, TN 37660-3606
Phone number: 423-230-2801
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