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Contact Information

KURT A ICK, MD
1932 BROOKSIDE DR
KINGSPORT, TN37660
 Phone: 423-246-4155
 Fax: 423-246-7169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for KURT A ICK · (Male)

NPI Number 1760439152
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 03/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD28950
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT BRISTOL REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PARK BLVD
    BRISTOL, TN 37620
  • WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL - (Acute Care)
    851 LOCUST STREET
    ROGERSVILLE, TN 37857
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
  • WELLMONT LONESOME PINE HOSPITAL - (Acute Care)
    1990 HOLTON AVENUE EAST
    BIG STONE GAP, VA 24219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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