Knoxville Area Stone Center

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

KNOXVILLE AREA STONE CENTER

Practice address

705 Griffith St Ste 205
Davidson, NC 28036-9307

Phone

(888) 557-5427

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Judy Russell

Title

Bus. Off. Coordinator

Phone

(888) 557-8457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700930336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GRIFFITH ST STE 205",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369307",
            "telephone_number": "888-557-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GRIFFITH ST STE 205",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369307",
            "telephone_number": "888-557-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE AREA STONE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BUS. OFF. COORDINATOR",
        "authorized_official_telephone_number": "888-557-8457"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Perkins Kinken, M.DIV., D.MIN.
• Daniel Lee Kirby, M.D.
• Kristin Dessert Kirk, L.C.S.W.
• Erin Klender, NP
• Teresa Lynn Klosek, PSYD
• Ruth Komer, LMFTA
• Ioanna Kosti
• Kimberly B Krueger, MSW, LCSW
• Heather Fouts Kuhl, FNP
• Nicolette Louise Labrijn-Groody

• Lithotripsy Clinic/Center in Davidson, NC
• Providers in Davidson, NC by specialty
• Lithotripsy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.