Individual
TANYA GLENNA THOMPSON KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1844
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6244
TN
363A00000X
Physician Assistant
Primary
3910
TN
363AS0400X
Surgical Physician Assistant
3910
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163431
NCCPA (PA-C)
—
Enumeration date
08/10/2019
Last updated
08/19/2024
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