Individual
CAROLYN GRACE KINSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1700
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5159
TN
363AS0400X
Surgical Physician Assistant
085008435
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/10/2021
Last updated
04/05/2023
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