Individual
DR. CHARLES ROBERT KAELIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Mailing address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25086
TN
207X00000X
Orthopaedic Surgery Physician
Primary
25086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080380
—
TN
01
—
3080389
MEDICARE PROVIDER ID
—
Enumeration date
03/07/2006
Last updated
07/15/2021
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