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Individual

JOY J KINDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
1301 SUNSET DR, STE 3, JOHNSON CITY, TN 37604-7906
(423) 926-4966
(423) 926-1823

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101259312
VA
2085R0202X
Diagnostic Radiology Physician
30834
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100031481
PHP TNCARE
TN
01
300114876
RAILROAD MEDICARE
TN
01
3146755
BCBS
TN
05
3851540
TN
01
64027048
KENTUCKY MEDICAID
KY
01
7209282
VIRGINIA MEDICAID
VA
01
89063JP
NORTH CAROLINA
NC
Enumeration date
05/04/2006
Last updated
01/09/2020
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