Organization
KEISER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WILLIAM KEISER DNP (OWNER)
(615) 775-7720
Entity
Organization
Contact information
Practice address
2513 WHITE AVE APT 7, NASHVILLE, TN 37204-2731
(615) 775-7720
Mailing address
2513 WHITE AVE APT 7, NASHVILLE, TN 37204-2731
(615) 775-7720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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