Individual
MR. GARY DEAN KREISHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-7781
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-7781
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
101835
TN
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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