Richard Gendron in Kingsport - Pediatrics

Richard Gendron - NPI 1720081557

Richard Gendron is a Pediatrics in Kingsport, Tennessee. Richard Gendron practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Richard Gendron is 1720081557. The last update date is 2009-09-16.

Richard Gendron's current location address is 2033 Meadowview Ln, Kingsport, Tennessee. You can contact this provider via phone number 4238572260 and fax number 4238572261. The mailing address for Richard Gendron is 2033 Meadowview Ln, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Gendron
Address 2033 Meadowview Ln, Kingsport, Tennessee
Phone Number 4238572260
Fax Number 4238572261
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720081557
Provider Enumeration Date 2005-05-24
Last Updated Date 2009-09-16

Provider Mailing Address Detail

Address 2033 Meadowview Ln
City Kingsport
State Tennessee (TN)
Post Code 3766075690
Phone Number 4238572260
Fax Number 4238572261

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 101025181
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6713602 VA --
6713602 VA --
3898501 TN --
5440943 TN --

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FAQs about Richard Gendron

What is the unique 10-digit identification code assigned to Richard Gendron by the Centers for Medicare & Medicaid Services?

The Richard Gendron has been issued the NPI (National Provider Identifier) 1720081557, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Richard Gendron's facilities are situated?

The facilities of Richard Gendron are physically located at the following address: 2033 Meadowview Ln, Kingsport, TN, 3766075690.

What is Richard Gendron's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Gendron is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1720081557 to Richard Gendron?

The Centers for Medicare & Medicaid Services assigned the 1720081557 to Richard Gendron on 2005-05-24.

As of what date were the details pertaining to Richard Gendron last refreshed?

The information related to the Richard Gendron, including its address, specialty, and other relevant details, was last updated on 2009-09-16.

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