Individual
MR. KENNETH EARLE TANNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300-20TH AVE. N. - 9TH FLOOR, NASHVILLE MEDICAL GROUP, NASHVILLE, TN 37203-5600
(615) 284-1400
(615) 284-1349
Mailing address
300 - 20TH AVE. NORTH - 9TH FLOOR, NASHVILLE, TN 37203-5600
(615) 284-1400
(615) 284-1349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-074
TN
363A00000X
Physician Assistant
PA74
TN
Other
Enumeration date
09/06/2006
Last updated
01/18/2012
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