Individual
STEPHEN C KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
MD021237
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057744
—
TN
01
—
3158710
BCBS
TN
01
—
390007329
RAILROAD MEDICARE
TN
01
—
4404715
AETNA US HEALTHCARE
TN
01
—
602003832
CARITEN HEALTHCARE
TN
Enumeration date
06/22/2005
Last updated
05/04/2012
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