Individual
KELSEY WILLEN MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 23RD AVE N STE 550, NASHVILLE, TN 37203-1706
(615) 321-8549
Mailing address
330 23RD AVE N STE 550, NASHVILLE, TN 37203-1706
(615) 321-8549
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
0000059547
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2016
Last updated
07/12/2022
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