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

Kingsport Primary Healthcare, LLC

Organization Family Medicine Physician · NPI 1679074892

Kingsport Primary Healthcare, LLC is a Family Medicine Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1526 Bridgewater Ln
Kingsport, TN 37660-4106
Phone: (423) 246-0033
Fax: (423) 245-0034
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD39507 (TN)

Record details

NPI number1679074892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stan McLain — Medical Director · (313) 363-6325
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018
Mailing address4980 Randel Rd, Oneida, NY 13421-3515

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