Individual
INGRID KJELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 CADILLAC DR, STE 200, BRENTWOOD, TN 37027-5087
(615) 376-7360
Mailing address
308 N PETERS RD, STE 225, KNOXVILLE, TN 37922-2327
(865) 694-0062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01064511A
IN
2085R0202X
Diagnostic Radiology Physician
036122003
IL
2085R0202X
Diagnostic Radiology Physician
2010-00424
NC
2085R0202X
Diagnostic Radiology Physician
35.093097
OH
2085R0202X
Diagnostic Radiology Physician
42987
TN
2085R0202X
Diagnostic Radiology Physician
Primary
A50153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A501530
—
CA
05
—
3001106
—
TN
Enumeration date
07/09/2006
Last updated
03/26/2013
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