Kelley, Justin Tyler
Kelley, Justin Tyler is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-5602. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Kelley, Justin Tyler can be contacted via phone (615) 322-5000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-5602
Phone: (615) 322-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 67650 | Tennessee |
Profile Details
| NPI number | 1467941187 |
|---|---|
| LBN Legal business name | Kelley, Justin Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2018 |
| Last updated | Sep 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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