Individual
KELLY G MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2204 PAVILION DR, SUITE 310, KINGSPORT, TN 37660-4657
(423) 224-3900
(423) 224-3901
Mailing address
276 FIELDSTONE DR, JONESVILLE, VA 24263-1215
(423) 224-3900
(423) 224-3901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203973
VA
207Q00000X
Family Medicine Physician
Primary
1209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306807979
—
VA
05
—
1509015
—
TN
01
—
P00878625
RAILROAD MEDICARE
TN
Enumeration date
03/31/2006
Last updated
08/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us