Healthcare Provider Details

I. General information

NPI: 1285620336
Provider Name (Legal Business Name): KRISTY L. NEWTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 EMERALD AVE TOWER 806
KNOXVILLE TN
37917-4502
US

IV. Provider business mailing address

7557 DANNAHER WAY BLDG B SUITE 155
POWELL TN
37849-3558
US

V. Phone/Fax

Practice location:
  • Phone: 865-522-8821
  • Fax: 865-637-0366
Mailing address:
  • Phone: 865-859-7370
  • Fax: 865-859-7389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: