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Individual

DR. BURNETT S KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1313 21ST AVE S, OXFORD HOUSE SUITE 801, NASHVILLE, TN 37232-0001
(615) 936-3427
(615) 936-0435
Mailing address
6104 ROBIN HILL RD, NASHVILLE, TN 37205-3230

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
40226
TN
204F00000X
Transplant Surgery Physician
A83773
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A837730
MEDICAL
CA
01
40226
MEDICAL
TN
Enumeration date
07/11/2006
Last updated
07/08/2007
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