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Organization

OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC

Active
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Organization

OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
355 NEW SHCKL IS RD, HENDERSONVILLE, TN 37075-2479
(615) 338-1000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—

Other

Enumeration date
10/18/2013
Last updated
04/19/2021
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