# WELLMONT HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205136942
- **Authorized official:** CRAIG KILGORE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (423) 578-1512

## Contact information

- **Practice address:** 1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
- **Practice address phone:** (423) 857-2066
- **Practice address fax:** (423) 857-2070
- **Mailing address:** PO BOX 9, KINGSPORT, TN 37662-0009
- **Mailing address phone:** (423) 857-2066
- **Mailing address fax:** (423) 857-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 10/28/2010
- **Last updated:** 10/28/2010