Individual
KELLY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4230 HARDING PIKE STE 435, NASHVILLE, TN 37205-4900
(615) 385-3704
Mailing address
1856 REYNOLDS RD, NASHVILLE, TN 37217
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
230406
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
35447
TN
Other
Enumeration date
09/03/2021
Last updated
01/23/2024
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