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Contact Information

KINGSTON FAMILY PRACTICE, P.C.
820 W RACE ST
KINGSTON, TN37763-2120
 Phone: 865-376-3406
 Fax: 865-376-9091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for KINGSTON FAMILY PRACTICE, P.C.

NPI Number 1356432041
LBN Legal business name KINGSTON FAMILY PRACTICE, P.C.
Authorized official DWIGHT WILLETT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2006
Last updated 05/10/2023 - About 3 years ago
Identifiers
TN Other 080080789 RAILROAD MEDICARE
TN Other 080153049 RAILROAD MEDICARE
TN Other 443961 RIVERBEND MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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