Individual
DR. KELLY ANGELA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1161 21ST AVENUE SOUTH R 1217 MEDICAL CENTER NORTH, VANDERBILT UNIVERSITY, NASHVILLE, TN 37232
(615) 322-3385
(615) 343-8606
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34670
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD34670
TN
207VX0000X
Obstetrics Physician
MD34670
TN
Other
Enumeration date
08/12/2006
Last updated
03/22/2022
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