Individual
MR. KEVIN J MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VANDERBILT UNIVERSITY, 1161 21ST AVENUE SOUTH, T-3219 MCN, NASHVILLE, TN 37232-0001
(615) 322-4746
(615) 322-6248
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD0000017960
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033838
—
TN
01
—
660004021
RAILROAD MEDICARE
TN
Enumeration date
09/15/2005
Last updated
03/30/2022
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