Provider Demographics
NPI:1295303972
Name:STEVENS, KRISTIE H (AUD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:H
Last Name:STEVENS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:HELENA
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:GREATER KNOXVILLE EAR NOSE AND THROAT ASSOCIATES, PC.
Mailing Address - Street 2:7121 REGAL LN STE 200A
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5804
Mailing Address - Country:US
Mailing Address - Phone:865-521-8050
Mailing Address - Fax:865-544-5816
Practice Address - Street 1:GREATER KNOXVILLE EAR NOSE AND THROAT ASSOCIATES, PC.
Practice Address - Street 2:7680 DANNAHER DR.
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4052
Practice Address - Country:US
Practice Address - Phone:865-521-8050
Practice Address - Fax:865-544-5816
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA2233231H00000X
KY271461231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist