# OSTEOPATHIC CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kristopher Goddard
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629491295
- **Authorized official:** JAYNE M MONTROSS (COO)
- **Authorized official phone:** (865) 693-8772

## Contact information

- **Practice address:** 4320 BALL CAMP PIKE, KNOXVILLE, TN 37921-3312
- **Practice address phone:** (865) 693-8772
- **Practice address fax:** (865) 219-2848
- **Mailing address:** 4801 S UNIVERSITY DR, DAVIE, FL 33328-3839
- **Mailing address phone:** (954) 634-4292
- **Mailing address fax:** (954) 634-4293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO0000002081 | TN | Yes |

## Other

- **Enumeration date:** 02/01/2014
- **Last updated:** 02/01/2014