Individual
KEVIN LEON BARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177912
TN
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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