Kenneth R Lister, Md, PC

NPI #1417060864 in Crossville, Tennessee

Provider Information

NPI Number: 1417060864
Entity Type: Organization
Organization Name: Kenneth R Lister, Md, PC
Primary Specialty: Anesthesiology
Enumeration Date: Aug 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 116 BROWN AVE
City: Crossville
State: Tennessee
ZIP Code: 38555-7703
Phone: (865) 694-6919

Authorized Official

Name: HEATHER ELEAZER
Title: PRACTICE MANAGER
Phone: (865) 694-6919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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