Individual
MR. KENNETH R CAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4022 HAVENDALE DR, NASHVILLE, TN 37207-1219
(615) 612-1722
Mailing address
4022 HAVENDALE DR, NASHVILLE, TN 37207-1219
(615) 612-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3047
AL
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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