NPI 1154663672

Kyle Phillip Radack, MD

Practitioner Dermatology Physician Kingsport, TN

Practice location

Address: 2300 W Stone Dr, Kingsport, TN 37660-2360
Phone: (423) 246-4961
Fax: (423) 245-3136

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD56094 (TN)

Other Dermatology providers in Tennessee →

Registry record

NPI: 1154663672
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2013
Record last updated: 23 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.