| Doctor Name: | MRS. KRISTEN MICHELLE SODER |
| NPI Number: | 1114233707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 15110 |
| Business Practice Address: | 1303 Taft Hwy Signal Mountain, TN - 373773207 |
| Business Phone Number: | 4238867529 |
| Business Fax Number: | 4238861194 |
| Mailing Address: | 1303 Taft Hwy, SIGNAL MOUNTAIN |
| State: | TN |
| Postal Code: | 373773207 |
| Phone Number: | 4238867529 |
| Fax Number: | 4238861194 |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 12/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 15110 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |