Individual
DR. KOFFI M KLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 21ST AVE S, VANDERBILT UNIV MEDICAL CENTER, DEPT OF ANESTHESIOLOGY, NASHVILLE, TN 37212-2717
(615) 936-3779
(615) 936-2801
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006-00895
NC
207L00000X
Anesthesiology Physician
Primary
45455
TN
207L00000X
Anesthesiology Physician
D0066123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C11298
RAILROAD MEDICARE GROUP #
MD
Enumeration date
08/01/2006
Last updated
03/24/2022
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