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Physician Compare National (NPI:1871500470)

HEALTHCARE PROVIDER: RICHARD LEE KIND DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1871500470
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8921266792
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120224000327
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KIND
Individual professional last name
Provider First Name RICHARD
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 1986
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2312 KNOB CREEK RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 204
Group Practice or individual's line 2 address
City JOHNSON CITY
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 376042367
Group Practice or individual's zip code (9 digits when available)
Phone Number 4232839683
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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