Individual
KELLY CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9459113
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
126516
TN
Other
Enumeration date
11/05/2019
Last updated
03/23/2022
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