Individual
SHANNON ELIZABETH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8405
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3427
TN
363AS0400X
Surgical Physician Assistant
3427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034344
—
TN
Enumeration date
10/30/2017
Last updated
07/22/2025
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