Provider Demographics
NPI:1669747184
Name:GOAN, KARI JONES (DO)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:JONES
Last Name:GOAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:102 E RAVINE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3814
Mailing Address - Country:US
Mailing Address - Phone:423-245-9600
Mailing Address - Fax:423-245-9637
Practice Address - Street 1:102 E RAVINE RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3814
Practice Address - Country:US
Practice Address - Phone:423-245-9600
Practice Address - Fax:423-245-9637
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS24404207R00000X
TN2811390200000X
TNDO2811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program