Provider Demographics
NPI:1285620336
Name:NEWTON, KRISTY L (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:L
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 DANNAHER WAY BLDG B
Mailing Address - Street 2:SUITE 155
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3558
Mailing Address - Country:US
Mailing Address - Phone:865-859-7370
Mailing Address - Fax:865-859-7389
Practice Address - Street 1:939 EMERALD AVE
Practice Address - Street 2:TOWER 806
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4502
Practice Address - Country:US
Practice Address - Phone:865-522-8821
Practice Address - Fax:865-637-0366
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514203Medicaid
TN3085283OtherBLUE CROSS BLUE SHIELD ID
TN31941262Medicare PIN
TN3194128Medicare ID - Type Unspecified
TN1514203Medicaid