DR. DAVID J KICKLITER

Address: 407 4th St, Newport, TN 37821-3755
Phone: 4236236240

DR. DAVID J KICKLITER (NPI# 1609850569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609850569
Entity Type 1 - Individual
Full Name DR. DAVID J KICKLITER
Credential MD
Practice Address 407 4th St
Newport
TN 37821-3755
Practice Telephone 4236236240
Practice Fax Number 4236230102
Enumeration Date 12/05/2005
Last Update Date 11/06/2013
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 17859 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3028740 05

Office Location

Street Address 407 4TH ST
City NEWPORT
State TN
Zip Code 37821-3755

Providers with the same location

NPI Name Address
1053300079 THE FAMILY PRACTICE CENTER PC 407 4th St, Newport, TN 37821-3755
1013992445 DR. DAVID H MCCONNELL 407 4th St, Newport, TN 37821-3755
1215912647 DR. ANGELO J GARBARINO JR. 407 4th St, Newport, TN 37821-3755
1053396432 MR. MICHAEL T HOOD 407 4th St, Newport, TN 37821-3755
1093885337 MRS. JENNIFER S EISENHOWER 407 4th St, Newport, TN 37821-3755
1669533782 MRS. LORI ANN BLACK 407 4th St, Newport, TN 37821-3755
1124170113 PRO THERAPY SERVICES OF EAST TENNESSEE 407 4th St, Newport, TN 37821-3755
1497801559 MRS. MELINDA LEE MCDANIEL 407 4th St, Newport, TN 37821-3755
1891054540 RAJKAMAL HARRICHARAN SINGH 407 4th St, Newport, TN 37821-3755
1760744726 CATHERINE L SPIKER 407 4th St, Newport, TN 37821-3755

Competitor

Search similar physicians

City NEWPORT
Zip Code 37821

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.