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NPI Code Detail

MEDICARE: DR. THOMAS G KINCER M.D.

MEDICARE:  DR. THOMAS G KINCER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician27201TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9P00196930OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1630813275OTHERALCHAMPUS
20110177OTHERALUNITED HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000038547OTHERALCOMMERCIAL PRV
5000038547OTHERALCOMMERICIAL GRP
6000038547OTHERALWORKMAN COMP
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8051038547OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1114994357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS G KINCER M.D.
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-433-6050
Fax Number :
Provider Business Practice Location Address
First Line : 917 W WALNUT ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6527
Country : US
Telephone Number : 423-439-6464
Fax Number : 423-439-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 02/01/2024

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Directions to “ DR. THOMAS G KINCER M.D.” Practice Location

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