Soon Moon, DO Valid NPI

Individual provider · Surgery Physician · Kingsport, TN

NPI

1902367188

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

6474 (TN)

Sex

Female

Sole proprietor

Yes

Enumerated

2019-03-28

Last updated

2026-01-29