Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingsport Anesthesia Associates LLC

Organization Certified Registered Nurse Anesthetist · NPI 1245777036

Kingsport Anesthesia Associates LLC provides Certified Registered Nurse Anesthetist services in Kingsport, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

999 Executive Park Blvd Ste 100
Kingsport, TN 37660-4632
Phone: (423) 247-2022
Fax: (423) 247-2027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1245777036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Clendenin — President · (615) 665-1283
NPI enumeratedJanuary 31, 2017
Last updated in NPPESJanuary 31, 2017
Mailing address1a Burton Hills Blvd, Attn: Provider Enrollment, Nashville, TN 37215-6187

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