Individual
KRISTIAN MAPLES CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8105
(865) 541-8713
Mailing address
P.O. BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q087329
—
TN
Enumeration date
05/22/2018
Last updated
08/06/2024
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