Kdpctn

NPI #1679262737 in Hermitage, Tennessee

Provider Information

NPI Number: 1679262737
Entity Type: Organization
Organization Name: Kdpctn
Primary Specialty: Specialist
Enumeration Date: May 4, 2023
Last Updated: Apr 30, 2025

Practice Location

Address: 3901 CENTRAL PIKE STE 500
City: Hermitage
State: Tennessee
ZIP Code: 37076-3419
Phone: (615) 933-7300

Authorized Official

Name: TANYIKA WAN
Title: VP ADMINISTRATIVE SERVICES
Phone: (812) 701-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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