Kelly P Gunter in Johnson City - Diagnostic Radiology

Kelly P Gunter - NPI 1255380481

Kelly P Gunter is a Diagnostic Radiology in Johnson City, Tennessee. Kelly P Gunter practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kelly P Gunter is 1255380481. The last update date is 2007-07-08.

Kelly P Gunter's current location address is 1301 Sunset Dr, Johnson City, Tennessee. You can contact this provider via phone number 4239264966 and fax number 4239261823. The mailing address for Kelly P Gunter is 1301 Sunset Dr, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly P Gunter
Address 1301 Sunset Dr, Johnson City, Tennessee
Phone Number 4239264966
Fax Number 4239261823
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1255380481
Provider Enumeration Date 2006-05-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 Sunset Dr
City Johnson City
State Tennessee (TN)
Post Code 376047906
Phone Number 4239264966
Fax Number 4239261823

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 19968
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89063PF NC NORTH CAROLINA MEDICAID
3151473 TN BCBS
64025919 KY KENTUCKY MEDICAID
3855812 TN --
7207956 VA VIRGINIA MEDICAID

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FAQs about Kelly P Gunter

What is the unique 10-digit identifier code assigned to Kelly P Gunter by the Centers for Medicare & Medicaid Services?

The Kelly P Gunter has been issued the NPI (National Provider Identifier) 1255380481 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kelly P Gunter?

The Kelly P Gunter is situated at 1301 Sunset Dr, in the city of Johnson City, state of TN, with the zip code 376047906.

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

The primary area of medical expertise for Kelly P Gunter is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

On what date did the Kelly P Gunter receive its 1255380481 assignment from the Centers for Medicare & Medicaid Services?

The Kelly P Gunter was assigned its 1255380481 by the Centers for Medicare & Medicaid Services on 2006-05-06.

As of what date were the details related to Kelly P Gunter most recently updated or revised?

The information pertaining to Kelly P Gunter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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