Individual
ELIZABETH CASSANDRA KINGMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(615) 324-1600
Mailing address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(615) 324-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MI
363L00000X
Nurse Practitioner
Primary
35009
TN
Other
Enumeration date
11/12/2020
Last updated
06/21/2024
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