Chumbley, Kelly D

Chumbley, Kelly D is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chumbley, Kelly D can be contacted via phone (423) 224-5109.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3837
Phone: (423) 224-5109
Fax: (423) 224-5120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO1771 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102202993 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34008110 Ohio

Profile Details

NPI number 1841243292
LBN Legal business name Chumbley, Kelly D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841243292 NPPES
Tennessee MEDICAID 3319838
Tennessee MEDICAID 3319837

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