# VANDERBILT UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538670179
- **Authorized official:** DR. JENNA CAITLYN KELLY PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (615) 343-6354

## Contact information

- **Practice address:** 1215 21ST AVE S STE 3312, NASHVILLE, TN 37232-0014
- **Practice address phone:** (615) 343-6354
- **Mailing address:** 1215 21ST AVE S STE 3312, NASHVILLE, TN 37232-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 10/23/2017