Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOON MOON, DO
Active Sole ProprietorSOON MOON, DO is a General Surgery healthcare provider located in KINGSPORT, Tennessee. NPI 1902367188 is currently active in the NPPES registry. Verify at CMS.
General Surgery · KINGSPORT, TN
Registration Details
- NPI Number
- 1902367188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2019 (7.4178626675095 yrs)
- Last Updated
- Jan 29, 2026
- License
-
6474 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 W RAVINE RD STE 3AKINGSPORT, TN, 376603841Browse TN providers · Browse ZIP 37660
- Phone
- 4232456101
- Fax
- 4232452396
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. CHERYL STANSKI | MD | 1063414167 |
| DR. STEVEN HOLT | MD | 1538163522 |
| DR. ROBERT ROGERS | MD | 1609870542 |
| DR. THOMAS THOMAS | MD | 1689678526 |
| WENDELL LAWRENCE SKINNER | MD | 1669478525 |
| MARK H KADOWAKI | MD | 1013901784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.