Individual provider · Type 1 NPI

Kyle Dane Gotfried, MD

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1205762085 Active

Practice location

917 W Walnut St
Johnson City, TN 37604-6527

Call (423) 439-6464 Map

Fax (423) 439-7118

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205762085

Kyle Dane Gotfried, MD's National Provider Identifier is 1205762085, issued on Jun 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 20, 2026.