Provider Demographics
NPI:1194171918
Name:LYON, KRISTOPHER ALLEN (MD)
Entity type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:ALLEN
Last Name:LYON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1924 PINE ST STE 501
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2452
Mailing Address - Country:US
Mailing Address - Phone:325-670-5145
Mailing Address - Fax:833-471-5065
Practice Address - Street 1:1924 PINE ST STE 501
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2452
Practice Address - Country:US
Practice Address - Phone:325-670-5145
Practice Address - Fax:833-471-5065
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5614207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery