Provider Demographics
NPI:1497010045
Name:KISER, KATHY ANNE
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:ANNE
Last Name:KISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 MAREMONT RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-0935
Mailing Address - Country:US
Mailing Address - Phone:865-406-9886
Mailing Address - Fax:
Practice Address - Street 1:2550 E MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-5827
Practice Address - Country:US
Practice Address - Phone:423-581-8878
Practice Address - Fax:423-581-8199
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN634237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist