Provider Demographics
NPI:1902034762
Name:KIND, RONALD RAY
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:RAY
Last Name:KIND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2633
Mailing Address - Country:US
Mailing Address - Phone:423-773-7713
Mailing Address - Fax:423-202-7882
Practice Address - Street 1:1307 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2633
Practice Address - Country:US
Practice Address - Phone:423-773-7713
Practice Address - Fax:423-202-7882
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies