Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tennessee Anesthesia Providers, PC

Organization Specialist · NPI 1669584991

East Tennessee Anesthesia Providers, PC is a Specialist in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (423) 279-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD0000010318 (TN)

Record details

NPI number1669584991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viktor Sulkowski — Owner · (423) 854-0001
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 21, 2011
Mailing address3101 Browns Mill Rd Ste 6 Pmb 386, Johnson City, TN 37604-4100

Other providers in Kingsport