Individual
DR. KEVIN CHARLES VISCONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2335 KNOB CREEK RD STE 100, JOHNSON CITY, TN 37604-2002
(423) 430-9942
(423) 212-8700
Mailing address
1930 ALCOA HWY STE A435, KNOXVILLE, TN 37920-1520
(865) 263-2400
(865) 263-2441
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD0000050829
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
50829
TN
Other
Enumeration date
06/11/2009
Last updated
10/24/2023
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