Kyle Phillip Radack
DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C.


Address: 3183 W State St, Bristol, TN 37620-1712
Phone: 4237647131

Kyle Phillip Radack (NPI# 1154663672, PAC ID# 5698047264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1154663672
PAC ID by PECOS 5698047264
Professional Enrollment ID I20170816002164
Full Name Kyle Phillip Radack
Organization Legal Name DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C.
Address 3183 W State St
Bristol
TN 37620-1712
Phone Number 4237647131
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2013
Primary Specialty DERMATOLOGY
Group Practice PAC ID 3971578816
Number of Group Practice Members 20
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490053 JOHNSTON MEMORIAL HOSPITAL
440012 WELLMONT BRISTOL REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3183 W State St, Bristol, TN 37620-1712 4237647131 DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C.
2300 W Stone Dr, Kingsport, TN 37660-2360 4232464961 DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C.

Organization Information

Organization Legal Name DERMATOLOGY ASSOCIATES OF KINGSPORT, P.C.
Physicians 21

Physicians with the same organization

Name Specialty Organization Address
Lillian Amber Mccall Nurse Practitioner Dermatology Associates of Kingsport, P.C. 2885 Boones Creek Rd, Johnson City, TN 37615-4661
Holly A Sanders Dermatology Dermatology Associates of Kingsport, P.C. 1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2192
Shelley Hilton Nurse Practitioner Dermatology Associates of Kingsport, P.C. 2300 W Stone Dr, Kingsport, TN 37660-2360
Julia Erin Reid Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
James Patrick Rash Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Jennifer M Barham Nurse Practitioner Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Allison M Pierce Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Chadwick J Thomas Dermatology Dermatology Associates of Kingsport, P.C. 2885 Boones Creek Rd, Johnson City, TN 37615-4661
Hannah Ruth Cook Physician Assistant Dermatology Associates of Kingsport, P.C. 2300 W Stone Dr, Kingsport, TN 37660-2360
Carri Beth Homoky Dermatology Dermatology Associates of Kingsport, P.C. 2300 W Stone Dr, Kingsport, TN 37660-2360

Office Location

Street Address 3183 W STATE ST
City BRISTOL
State TN
Zip 37620-1712

Physicians in the same location

Name Specialty Organization Address
Claudia F Corradino Nurse Practitioner Wellmont Medical Associates Inc 3183 W State St, Suite 1101, Bristol, TN 37620-1713
Julia Erin Reid Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
James Patrick Rash Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Jennifer M Barham Nurse Practitioner Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Allison M Pierce Dermatology Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Shawn K Nelson Neurology Wellmont Medical Associates Inc 3183 W State St, Bristol, TN 37620-1713
Douglas P Williams Neurology Wellmont Medical Associates Inc 3183 W State St, Bristol, TN 37620-1713
Ashley D Pierson Physician Assistant Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Kara Marie Hill Nurse Practitioner Wellmont Medical Associates Inc 3183 W State St, Suite 1201, Bristol, TN 37620-1713
Sharman Denise Whitfield Nurse Practitioner Dermatology Associates of Kingsport, P.C. 3183 W State St, Bristol, TN 37620-1712
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Scott Fowler Obstetrics/gynecology Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Tara D Spurling Nurse Practitioner Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Stacie L Mccray Nurse Practitioner Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Cynthia L Mcglothlin Nurse Practitioner Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Nyela Aldridge Edwards Certified Nurse Midwife (cnm) Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Jeffrey A Mcqueary Obstetrics/gynecology Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Autumn R Hoover Nurse Practitioner Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Alyssa Nicole Phelps Obstetrics/gynecology Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Jeffrey R Looney Obstetrics/gynecology Holston Medical Group PC 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620
Lynn H Couch Certified Registered Nurse Anesthetist (crna) Innovative Surgical Solutions, Pllc 3185 W State St, Suite 2020, Bristol, TN 37620-1600
Find all physicians in zip 37620

Competitor

Search similar physicians

City BRISTOL
Zip Code 37620
Specialty DERMATOLOGY
City + Specialty BRISTOL + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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