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NPI Code Detail

MEDICARE: DR. KRISTY L. NEWTON M.D.

MEDICARE:  DR. KRISTY L. NEWTON  M.D.
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23085283OTHERTNBLUE CROSS BLUE SHIELD ID

General Provider Information

NPI Number : 1285620336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTY L. NEWTON M.D.
Provider Business Mailing Address
First Line : 7557 DANNAHER WAY BLDG B
Second Line : SUITE 155
City : POWELL
State : TN
Zip : 37849-3558
Country : US
Telephone Number : 865-859-7370
Fax Number : 865-859-7389
Provider Business Practice Location Address
First Line : 939 EMERALD AVE
Second Line : TOWER 806
City : KNOXVILLE
State : TN
Zip : 37917-4502
Country : US
Telephone Number : 865-522-8821
Fax Number : 865-637-0366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 04/01/2011

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Directions to “ DR. KRISTY L. NEWTON M.D.” Practice Location

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