Individual
CASEY MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0004
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193026
TN
363LA2100X
Acute Care Nurse Practitioner
APN0000030409
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
30409
TN
Other
Enumeration date
03/10/2020
Last updated
06/18/2023
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