Individual provider · Type 1 NPI

Soon Moon, DO

Surgery Physician · Kingsport, TN

NPI number 1902367188 Active

Practice location

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841

Call (423) 245-6101 Map

Fax (423) 245-2396

Mailing address

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

Other practice locations

  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 · (423) 398-7020
  • 20000 Harvard Road, Warrensville Heights, OH 44122 · (216) 491-6000

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X6474 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1902367188

Soon Moon, DO's National Provider Identifier is 1902367188, issued on Mar 28, 2019. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Kingsport, TN. The record was last updated on Jan 29, 2026.