Everman, Kelly R
Everman, Kelly R is an individual health care provider with primary practice located at 1800 Church St Suite 100, Nashville TN 37203-2208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Everman, Kelly R can be contacted via phone (615) 329-3624.Contact Information
Primary practice address
1800 Church St Suite 100
Nashville TN 37203-2208
Phone: (615) 329-3624
Fax: (615) 329-0639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD48847 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD48847 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 38136 | Kentucky |
Profile Details
| NPI number | 1730181090 |
|---|---|
| LBN Legal business name | Everman, Kelly R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730181090 | NPPES |
| Tennessee | MEDICAID | 1529953 | |
| Tennessee | MEDICAID | 64071517 |
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