Organization
KIDS ARE SPECIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(931) 253-1110
Entity
Organization
Contact information
Practice address
880 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2774
(931) 685-8111
Mailing address
6550 CAROTHERS PKWY STE 225, FRANKLIN, TN 37067-6662
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007192
—
TN
Enumeration date
10/13/2022
Last updated
10/13/2022
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