Individual
DR. DOUGLAS W KINGMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
448 CAROTHERS PARKWAY, SUITE 310, FRANKLIN, TN 37067
(615) 986-4330
(615) 550-4320
Mailing address
2004 HAYES ST, STE 800, NASHVILLE, TN 37203-2659
(615) 514-6963
(615) 986-0560
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
25MA08843800
NJ
207ZH0000X
Hematology (Pathology) Physician
Primary
46486
TN
207ZP0101X
Anatomic Pathology Physician
17073
OK
207ZP0101X
Anatomic Pathology Physician
MD430689
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
4301081425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4550124
—
MI
Enumeration date
04/18/2006
Last updated
05/16/2019
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