Individual
MR. KYLE PATRICK LUCKEY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-1610
(615) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236839
TN
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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