Individual
KEVIN B CHURCHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 DOCTORS OFC TOWER, 2200 CHILDRENS WAY, NASHVILLE, TN 37232-0001
(731) 660-8759
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
26441
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3068740
BCBS
—
05
—
3896512
—
TN
Enumeration date
09/15/2006
Last updated
07/31/2009
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