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

Kingsport Plastic Surgery, PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1912178112

Kingsport Plastic Surgery, PC is a Plastic and Reconstructive Surgery Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2012 Brookside Dr Ste 1
Kingsport, TN 37660-4645
Phone: (423) 245-8400
Fax: (423) 245-9959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 25312 (TN)

Record details

NPI number1912178112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristy Lane — Practice Administrator · (423) 245-8400
NPI enumeratedMarch 14, 2008
Last updated in NPPESMarch 14, 2008
Mailing address2012 Brookside Dr, Suite 1, Kingsport, TN 37660-4645

Other providers in Kingsport