Individual
DR. KYLE COLVETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER, JOHNSON CITY, TN 37604-6035
(423) 431-6000
(423) 431-6060
Mailing address
PO BOX 5099, JOHNSON CITY, TN 37602-5099
(423) 431-6000
(423) 431-6060
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD0000027621
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3042167
BLUE CROSS BLUE SHIELD T
TN
01
—
3045857
BLUE CROSS BS OF TN GROUP
TN
Enumeration date
02/06/2006
Last updated
07/09/2007
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