DR. Kyle Phillip Radack, M.D.

NPI #1154663672 in Kingsport, Tennessee

Provider Information

NPI Number: 1154663672
Entity Type: Individual
Name: DR. Kyle Phillip Radack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Mar 22, 2013
Last Updated: Feb 23, 2018

Practice Location

Address: 2300 W STONE DR
City: Kingsport
State: Tennessee
ZIP Code: 37660-2360
Phone: (423) 246-4961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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