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

Kingston Family Practice, PC

Organization Family Medicine Physician · NPI 1356432041

Kingston Family Practice, PC is a Family Medicine Physician in Kingston, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

820 W Race St
Kingston, TN 37763-2120
Phone: (865) 376-3406
Fax: (865) 376-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1356432041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Willett — President · (865) 376-3406
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address820 W Race St, Kingston, TN 37763-2120

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