Individual
JUSTIN TYLER KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5602
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
67650
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
09/17/2023
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