Keith E Pratt (NPI# 1396773669, PAC ID# 3274561394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1396773669 |
PAC ID by PECOS | 3274561394 |
Professional Enrollment ID | I20050730000130 |
Full Name | Keith E Pratt |
Organization Legal Name | KINGSPORT PRIMARY CARE, PC |
Address |
1526 Bridgewater Ln Kingsport TN 37660-4106 |
Phone Number | 4232460033 |
Gender | M |
Credential | MD |
Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 5799709770 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
440176 | INDIAN PATH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 4232460033 | KINGSPORT PRIMARY CARE, PC |
Organization Legal Name | KINGSPORT PRIMARY CARE, PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott D Mclain | Family Medicine | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Lorne B Hartsock | Physician Assistant | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Glenn K Quarles | Emergency Medicine | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Thomas E Rogers | Family Practice | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Street Address |
1526 BRIDGEWATER LN |
City | KINGSPORT |
State | TN |
Zip | 37660-4106 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott D Mclain | Family Medicine | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Lorne B Hartsock | Physician Assistant | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Glenn K Quarles | Emergency Medicine | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Thomas E Rogers | Family Practice | Kingsport Primary Care, PC | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Find all physicians in zip 37660 |
City | KINGSPORT |
Zip Code | 37660 |
Specialty | INTERNAL MEDICINE |
City + Specialty | KINGSPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Keith E Pratt.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.