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Kenneth R Lister, MD, PC

Anesthesiology Physician in Crossville, TN · enumerated 2006 · authorized official Heather Eleazer, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417060864

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Registry record

Entity type Organization (Type 2)
Legal business name Kenneth R Lister, MD, PC
Practice address 116 Brown Ave, Crossville, TN, 38555
Phone (865) 694-6919
Fax (865) 694-4339
Enumeration date Aug 17, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Heather Eleazer
Title Practice Manager
Phone (865) 694-6919

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenneth R Lister, MD, PC?
The NPI for Kenneth R Lister, MD, PC is 1417060864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kenneth R Lister, MD, PC?
NPPES lists Heather Eleazer (Practice Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.