Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Interventional Cardiology Physician · Kingsport, TN

NPI number 1205249885 Active

Practice location

444 Clinchfield St, Unit 201
Kingsport, TN 37660-3858

Fax (423) 857-7655

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician Primary	207RI0011X	None listed

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

8 other providers at this address

NPI record

NPI: 1205249885
Entity type: Organization (Type 2)
Issued: Jun 11, 2014
Last updated: Mar 29, 2019
Status: Active

Other names

<unavail>
Ballad Health Medical Associates · doing business as
MSMG Cardiology KPT A · doing business as
Bhma Heart and Vascular Clinchfield · other name

Authorized official

Carl Steven Kilgore
President/ceo
(423) 302-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205249885

Blue Ridge Medical Management Corporation's National Provider Identifier is 1205249885, issued on Jun 11, 2014. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Kingsport, TN. The record was last updated on Mar 29, 2019.