Individual
CHRISTI S. KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN15202
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100408A
—
GA
05
—
125746
—
AL
05
—
1521929
—
TN
01
—
1821307695
TRICARE/CHAMPUS
—
01
—
4275665
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00879484
RAILROAD MEDICARE
TN
Enumeration date
09/28/2010
Last updated
03/04/2025
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