Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R LISTER, MD
ActiveKENNETH R LISTER, MD is a Pain Medicine (Anesthesiology) healthcare provider located in CROSSVILLE, Tennessee. NPI 1730187980 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · CROSSVILLE, TN
Registration Details
- NPI Number
- 1730187980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.127584848277 yrs)
- Last Updated
- Sep 6, 2023
- License
-
MD8024 (TN)
Practice Information
- Address
-
49 CLEVELAND ST STE 230CROSSVILLE, TN, 385552854Browse TN providers · Browse ZIP 38555
- Phone
- 9312105701
- Fax
- 9312105702
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
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.