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

Kenneth R Lister, MD, PC

Organization Anesthesiology Physician · NPI 1417060864

Kenneth R Lister, MD, PC is an Anesthesiology Physician in Crossville, 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

116 Brown Ave
Crossville, TN 38555-7703
Phone: (865) 694-6919
Fax: (865) 694-4339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (TN)

Record details

NPI number1417060864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Eleazer — Practice Manager · (865) 694-6919
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 52364, Knoxville, TN 37950-2364

Other providers in Crossville