IndividualActive
Kenneth Lister, MD
NPI 1730187980 · Pain Medicine (Anesthesiology) Physician · Crossville, TN
Provider details
- NPI number
- 1730187980
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD8024 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
49 Cleveland St Ste 230
Crossville, TN 38555-2854
Phone: (931) 210-5701
Fax: (931) 210-5702
Approximate (ZIP-level) locationGet directions
Mailing address
49 Cleveland St Ste 230
Crossville, TN 38555-2854
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.