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

Individual provider Registered Nurse · NPI 1609417369

Kyle J Dickall is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Qualified in 2019, 7 years ago. Practices with Covenant Anesthesia Group PC, a 233-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 27200 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 198328 (TN)

Record details

NPI number1609417369
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address284 Chesterfield Dr, Kingsport, TN 37663-2976

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Covenant Anesthesia Group Pc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport