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Organization
EAST TENNESSEE NEPHROLOGY PC
Active
Organization
EAST TENNESSEE NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C KISS MD (PRESIDENT MD)
(865) 524-3131
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323
Mailing address
2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916-1865
(865) 524-3131
(865) 212-6323
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721896
—
TN
Enumeration date
08/03/2006
Last updated
07/02/2010
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