Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forever Young Medical Aesthetics and Weight Loss LLC

Organization Clinic/Center · NPI 1962186072

Forever Young Medical Aesthetics and Weight Loss LLC is a Clinic/Center in Kingsport, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 Professional Park Pvt Dr
Kingsport, TN 37663-2287
Phone: (423) 342-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1962186072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Williams — Fnp/Owner · (423) 342-3335
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 10, 2023
Mailing address102 Professional Park Pvt Dr, Kingsport, TN 37663-2287

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