Individual
KYLIE NICOLE DEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2429
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6106
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/24/2024
Last updated
12/05/2024
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