Individual
KERRI LYN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2372
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000041268
TN
207RN0300X
Nephrology Physician
Primary
MD0000041268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401515100
—
MD
Enumeration date
05/10/2006
Last updated
03/23/2022
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