MEDICARE: MR. KRIS D HOUSER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	23836	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036832	OTHER		BOARD OF PSY AND NEUROLOG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992798284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KRIS D HOUSER MD

Provider Business Mailing Address
First Line	:	8906 NATURES POND WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-7144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 S PETERS RD
Second Line	:	STE 201
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5238
Country	:	US
Telephone Number	:	865-539-1001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	03/07/2023

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