Individual
MR. TIMOTHY KERWIN KRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5651 FRIST BLVD, SUITE 603, HERMITAGE, TN 37076-2079
(615) 889-1968
(615) 889-8527
Mailing address
5651 FRIST BLVD, 603, HERMITAGE, TN 37076-2079
(615) 889-7891
(615) 889-8527
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14528
TN
207RI0011X
Interventional Cardiology Physician
Primary
14528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3705322
—
TN
05
—
64083488
—
KY
Enumeration date
02/09/2006
Last updated
03/17/2018
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