Individual
KYRA LOGAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-7201
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5740
TN
363AM0700X
Medical Physician Assistant
PA11881
TX
Other
Enumeration date
03/06/2018
Last updated
04/26/2024
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