Provider Demographics
NPI:1770251514
Name:NEWMAN, JOSHUA KENTON (PA)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KENTON
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-0808
Mailing Address - Country:US
Mailing Address - Phone:423-442-2121
Mailing Address - Fax:423-545-9556
Practice Address - Street 1:3959 US 411
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354
Practice Address - Country:US
Practice Address - Phone:423-442-2121
Practice Address - Fax:423-545-9556
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-04
Last Update Date:2023-06-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant