Individual
MRS. KELLEY YANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C, R.D.
Contact information
Practice address
28 WHITE BRIDGE RD, STE. 300, NASHVILLE, TN 37205-1499
(615) 356-4111
(615) 356-8011
Mailing address
28 WHITE BRIDGE RD, STE. 300, NASHVILLE, TN 37205-1499
(615) 356-4111
(615) 356-8011
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
0739
TN
363AM0700X
Medical Physician Assistant
Primary
2528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010216
—
TN
Enumeration date
06/26/2014
Last updated
01/25/2016
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