Individual
DR. KELLY JAMES TENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-3549
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53632
TN
207P00000X
Emergency Medicine Physician
ME11962
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2009
Last updated
01/09/2024
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