Individual
DR. ROBERT HAROLD FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 CLINCHFIELD STREET, SUITE 201, KINGSPORT, TN 37660-3606
(423) 230-2700
(423) 230-2710
Mailing address
444 CLINCHFIELD STREET, SUITE 201, KINGSPORT, TN 37660-3606
(423) 230-2700
(423) 230-2710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16695
TN
207Q00000X
Family Medicine Physician
Primary
MD0000016695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005609852
—
VA
05
—
3016493
—
TN
Enumeration date
08/10/2006
Last updated
11/16/2016
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