Individual
DR. KEVIN KENT EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
425 5TH AVE N, 5TH FLOOR, CORDELL HULL BUILDING, NASHVILLE, TN 37247-0001
(615) 253-2311
(615) 532-2785
Mailing address
232 MARLIN RD, WHITE HOUSE, TN 37188-8951
(615) 253-2311
(615) 532-2785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9206
TN
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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