Individual
MR. KENDALL SCOTT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CHURCH STREET, BAPTIST HOSPITAL NICU, NASHVILLE, TN 37236
(615) 284-5174
(615) 284-3349
Mailing address
2000 CHURCH STREET, NEONATOLOGISTS PROFESSIONAL SERVICE, NASHVILLE, TN 37236
(615) 284-5071
(615) 284-3349
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD0000036357
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633456
—
TN
Enumeration date
12/01/2006
Last updated
07/08/2007
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