Individual
KELLY TATUM BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
111 HIGHWAY 70 E STE 102, DICKSON, TN 37055-2080
(615) 229-3045
(615) 332-0340
Mailing address
397 WALLACE RD STE 411, NASHVILLE, TN 37211-8028
(615) 332-0330
(615) 332-0340
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060900
—
TN
Enumeration date
06/08/2016
Last updated
06/26/2024
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