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

Kelly G McQueen, DO

Individual provider Family Medicine Physician · NPI 1306807979

Kelly G McQueen, DO is a Family Practice in Kingsport, Tennessee. Qualified in 1994, 32 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
32
Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4657
Phone: (423) 224-3900
Fax: (423) 224-3901
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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 · Licence 1209 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0102203973 (VA)

Record details

NPI number1306807979
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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