Kyle K Cross

Primary specialty

ContractorTaxonomy code 171W00000X

License

00029481 Issued in TN

Practice address

1409 Linville St
Kingsport, TN 37664-2207

Phone

(423) 288-5399

Fax

(423) 288-4694

NPI assigned

Mar 14, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1659695096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620054",
            "telephone_number": "423-288-5399",
            "fax_number": "423-288-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 LINVILLE ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642207",
            "telephone_number": "423-288-5399",
            "fax_number": "423-288-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KYLE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TN",
            "license": "00029481",
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TN",
            "license": "00029481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Ann Crigger
• Mattie N Crockett, LPC, MHSP
• Steven Croghan, NP
• Ryan Patrick Cronin, DO
• Audrey B Cross, FNP
• Terri Jeanne Cross, MA
• Donna Howard Crotts, COTA
• Jack R Crowder, M.D.
• Jerry Marvin Crowe Jr., DDS
• Jennifer Marie Crowley-Rodig, ARNP

• Contractor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.