Kingsport Urology Group

NPI #1083735484 in Kingsport, Tennessee

Provider Information

NPI Number: 1083735484
Entity Type: Organization
Organization Name: Kingsport Urology Group
Primary Specialty: Urology
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1932 BROOKSIDE DR
City: Kingsport
State: Tennessee
ZIP Code: 37660-4602
Phone: (423) 349-6679

Authorized Official

Name: DR. WOODROW W. REEVES
Title: PRESIDENT
Phone: (423) 246-4155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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