Kirk, Kevin P

Kirk, Kevin P is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1F, Kingsport TN 37660-3365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kirk, Kevin P can be contacted via phone (423) 230-2420.

Contact Information

Primary practice address
105 W Stone Dr Ste 1F Kingsport TN 37660-3365
Phone: (423) 230-2420
Fax: (423) 230-2422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40802 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40802 Tennessee

Profile Details

NPI number 1376503060
LBN Legal business name Kirk, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 23rd, 2019 - about 5 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 1376503060 NPPES
Tennessee MEDICAID 33373541

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