Basic Information
Provider Information
NPI: 1912990821
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLON
FirstName: MICHAEL
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 699
Address2:  
City: MOUNTAIN HOME
State: TN
PostalCode: 376840699
CountryCode: US
TelephoneNumber: 4234336039
FaxNumber: 4234336060
Practice Location
Address1: 400 N STATE OF FRANKLIN RD
Address2: 1ST FLOOR
City: JOHNSON CITY
State: TN
PostalCode: 376046035
CountryCode: US
TelephoneNumber: 4234336200
FaxNumber: 4234336202
Other Information
ProviderEnumerationDate: 08/25/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XMD24051TNY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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