Individual
KEVIN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 PATTERSON ST STE 205, NASHVILLE, TN 37203-2165
(615) 329-0341
Mailing address
638 NASHUA LN, NASHVILLE, TN 37209-1270
(954) 778-7665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3717
TN
363AM0700X
Medical Physician Assistant
3717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3717
PHYSICIAN ASSISTANT LICENSE
TN
Enumeration date
10/02/2018
Last updated
08/18/2021
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