Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kingsport Primary Healthcare, LLC

Organization Family Medicine Physician · NPI 1679074892

Kingsport Primary Healthcare, LLC provides Family Medicine Physician services in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1526 Bridgewater Ln
Kingsport, TN 37660-4106
Phone: (423) 246-0033
Fax: (423) 245-0034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD39507 (TN)

Record details

NPI number1679074892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stan McLain — Medical Director · (313) 363-6325
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018
Mailing address4980 Randel Rd, Oneida, NY 13421-3515

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