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Dr. W Jan Kazmier, MD
Specialist in Kingsport, Tennessee
NPI 1235197815

W Jan Kazmier is a Specialist based in Kingsport, TN. W Jan Kazmier practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for W Jan Kazmier is 1235197815 and holds a License No. MD0000016939 (Tennessee).

The current practice location address for W Jan Kazmier is 2995 Fort Henry Dr, Kingsport, TN and can be reached out via phone at 423-246-6445 and via fax at 423-246-8240.

Location: 2995 Fort Henry Dr, Kingsport, TN, 37664-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235197815
Provider Name
W Jan Kazmier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2995 Fort Henry Dr, Kingsport, TN, 37664-4005
Phone Number
423-246-6445
Fax Number
423-246-8240
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0078009 01 TN BLUE CROSS/BLUE SHIELD
3038457 05 TN
079672 01 VA ANTHEM BCBS
110024502 01 TN MEDICARE RAILROAD
01-41828 01 TN UNITED HEALTHCARE
TN0101 01 TN JOHN DEERE HEALTH
621482794 01 TAX ID
006036791 05 VA
100010179 01 TN PHP TENNESSEE
institution
Provider Business Practice Location Address Details
Address
2995 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37664-4005
Phone Number
423-246-6445
Fax Number
423-246-8240
person
Provider Business Mailing Address Details
Address
2995 Fort Henry Dr
City
Kingsport
State
Tennessee
Zip
37664-4005
Phone Number
423-246-6445
Fax Number
423-246-8240
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0000016939 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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