Individual
DR. KEVIN P KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W STONE DR, STE 1F, KINGSPORT, TN 37660-3365
(423) 230-2420
(423) 230-2422
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40802
TN
208M00000X
Hospitalist Physician
Primary
40802
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33373541
—
TN
Enumeration date
03/25/2006
Last updated
05/23/2019
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