Kirsten Danella Applegate Walton

Individual provider Active NPI Registered Nurse · Kingsport, TN

NPI 1114868569 · NPPES record last updated Apr 1, 2026

Key facts

NPI
1114868569
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
198526 (TN)
Practice address
1025 Executive Park Blvd
Kingsport, TN 37660-4620
Phone
(423) 312-2766
NPI assigned
Apr 1, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
198526TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 198526 TN Yes

Addresses

Primary practice location

1025 Executive Park Blvd
Kingsport, TN 37660-4620

Mailing address

3809 Rockford St
Kingsport, TN 37664-3966
Phone (423) 312-2766

Other providers in Kingsport, TN

All providers in Kingsport, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.