Individual
DR. KELLY SOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232
(615) 322-3000
(615) 936-0605
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220718
MA
207R00000X
Internal Medicine Physician
MD42701
TN
208M00000X
Hospitalist Physician
Primary
42701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001029
—
TN
Enumeration date
07/18/2006
Last updated
03/28/2022
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