Individual provider · Type 1 NPI

Tabitha Kaneshiro, PA-C

Surgical Physician Assistant · Kingsport, TN

NPI number 1386455871 Active

Practice location

2050 Meadowview Pkwy
Kingsport, TN 37660-7475

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 746 High Point Way, Knoxville, TN 37912-3693 · (808) 646-1139
  • 310 N State Of Franklin Rd Ste 400, Johnson City, TN 37604-6051 · (423) 979-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6417 (TN)
Surgical Physician Assistant Primary 363AS0400X6417 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1386455871

Tabitha Kaneshiro, PA-C's National Provider Identifier is 1386455871, issued on Jan 15, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kingsport, TN. The record was last updated on May 4, 2026.