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Kyle T Caron

Family Medicine

Allopathic & Osteopathic Physicians

102 E Ravine Rd, Kingsport, TN 37660-3814

PECOS Enrollment

This provider is enrolled in PECOS as KYLE CARON.

Based on the most recent information from CMS, provider Kyle T Caron 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 today at 10:51 AM.

Profile Details

Provider ID
1356086649
Provider Type
Individual
Full Name
Caron, Kyle T
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/1/2022
Last Updated
8/25/2025

Contact Information

Practice Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

(423) 245-9634

Mailing Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

(423) 245-9634

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 6260 Tennessee

Kyle T Caron

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stirman, Edward Monty

Blackwelder, Reid B

Hager, Shelton

Lawrence, Amy Christine

Sumpter, Zachary Linuel

Arif, Ruhma

Fore, Edward Johnson

Galletti, Christopher

Doran, Aaron M

Jones, Lesley Ann