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Kelly G Mcqueen, DO

Family Medicine Physician in Kingsport, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306807979

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Registry record

Entity type Individual (Type 1)
Name Kelly G Mcqueen
Credential DO
Sex Female
Practice address 2204 Pavilion Dr, Suite 310, Kingsport, TN, 37660
Fax (423) 224-3901
Enumeration date Mar 31, 2006
Last updated in NPPES Aug 2, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0102203973 (VA) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 1209 (TN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
1306807979 Medicaid VA -
1509015 Medicaid TN -
P00878625 Other TN RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1306807979 active?
Yes, as of the latest NPPES snapshot, NPI 1306807979 is active (record last updated 2021-08-02).
How do I verify Kelly Mcqueen's NPI record?
Cross-check NPI 1306807979 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-02.