Status Allergy Clinic of Kingsport
Status Allergy Clinic of Kingsport is an Allergy & Immunology Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.
- Licensed in
- TN
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1516 Bridgewater DrKingsport, TN 37660
Phone: (423) 247-1122
Fax: (423) 247-3856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence MD0000015776 (TN) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence MD0000015776 (TN) |
Record details
| NPI number | 1972811503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nalinchandra Shah — President - Md · (423) 247-1122 |
| NPI enumerated | September 16, 2010 |
| Last updated in NPPES | September 16, 2010 |
| Mailing address | P.O. Box 3490, Kingsport, TN 37664 |