Doctor Name: | CAROLYN ELIZABETH KALLMEYER |
NPI Number: | 1265734370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3004450 |
Business Practice Address: | 2150 Dixie Hwy Ft Mitchell, KY - 410172902 |
Business Phone Number: | 8592921784 |
Business Fax Number: | 8592921785 |
Mailing Address: | 2620 Elm Hill Pike, NASHVILLE |
State: | TN |
Postal Code: | 372143108 |
Phone Number: | 6154254211 |
Fax Number: | 6154254201 |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 3004450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |