Individual provider · NPI-1

Dr. Kelly Angela Bennett, M.D.

Obstetrics & Gynecology, Maternal & Fetal Medicine · Nashville, TN

NPI number1831101641
StatusActive
Last updated in NPPESMar 22, 2022

Details

NPI
1831101641
Entity type
Individual (NPI-1)
Name
Dr. Kelly Angela Bennett
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2006
Certification date
Mar 22, 2022
Last updated
Mar 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineMD34670TNYes
174400000X Specialist34670TN
207VX0000X Obstetrics & Gynecology, ObstetricsMD34670TN

Practice location

1161 21st Avenue South R 1217 Medical Center North
Vanderbilt University
Nashville, TN 37232

Phone 615-322-3385 · Fax 615-343-8606

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice locations

2200 Childrens Way
Nashville, TN 37232-0005

Phone 615-936-2000

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