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Kari Jones Goan

Family Medicine

Allopathic & Osteopathic Physicians

102 E Ravine Rd, Kingsport, TN 37660-3814

PECOS Enrollment

This provider is enrolled in PECOS as KARI GOAN.

Based on the most recent information from CMS, provider Kari Jones Goan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1669747184
Provider Type
Individual
Full Name
Goan, Kari Jones
Title
Dr.
Credential
D.O.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/16/2012
Last Updated
7/15/2019

Contact Information

Practice Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

(423) 245-9637

Mailing Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

(423) 245-9637

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License DO2811 Tennessee
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 24404 Mississippi
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 2811 Tennessee

Kari Jones Goan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Funke, Robert Harold