Individual
KENNEDY CUNNINGHAM TOBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24163
TN
363LA2200X
Adult Health Nurse Practitioner
24163
TN
363LG0600X
Gerontology Nurse Practitioner
24163
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07772764
—
MS
Enumeration date
07/24/2015
Last updated
05/02/2023
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