Individual
MISS KRISTIN A GAFFNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34-009841
OH
207R00000X
Internal Medicine Physician
P5179
TX
207RG0100X
Gastroenterology Physician
04481
KY
207RG0100X
Gastroenterology Physician
Primary
2852
TN
207RG0100X
Gastroenterology Physician
91329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-014683
—
TN
05
—
318476401
—
TX
Enumeration date
07/03/2008
Last updated
06/21/2024
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