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

Dr. Kyle Dane Gotfried, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205762085

Dr. Kyle Dane Gotfried, MD is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

917 W Walnut St
Johnson City, TN 37604-6527
Phone: (423) 439-6464
Fax: (423) 439-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)

Record details

NPI number1205762085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2026
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026

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