Individual
KAYLA KENNETTE TUCKER KATSADOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3541
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3935
TN
152W00000X
Optometrist
OPT007092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497034
—
OH
Enumeration date
07/11/2022
Last updated
02/19/2025
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