Individual
JEFFREY D KAUPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 CREEKSIDE DR, DICKSON, TN 37055-2176
(615) 441-6140
(615) 441-6190
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA567
TN
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6028199
BCBS TN
TN
05
—
Q004631
—
TN
Enumeration date
05/23/2005
Last updated
10/02/2025
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