Individual
DR. JEFFREY R KAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660
(423) 230-5000
(423) 245-2396
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD19361
TN
2086S0129X
Vascular Surgery Physician
MD19361
TN
208C00000X
Colon & Rectal Surgery Physician
MD19361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007300280
—
VA
01
—
0092361
BCBS TENNESSEE
TN
01
—
059071
ANTHEM BCBS VIRGINIA
VA
01
—
20009693
RAILROAD MEDICARE
TN
05
—
3045415
—
TN
01
—
5208034
AETNA
—
Enumeration date
07/05/2006
Last updated
12/03/2014
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