Kaelin, Charles Robert

Kaelin, Charles Robert is an individual health care provider with primary practice located at 4998 Crossings Cir Ste 200 , Mount Juliet TN 37122-0018. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kaelin, Charles Robert can be contacted via phone (615) 553-5000.

Contact Information

Primary practice address
4998 Crossings Cir Ste 200 Mount Juliet TN 37122-0018
Phone: (615) 553-5000
Fax: (615) 758-3875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25086 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25086 Tennessee

Profile Details

NPI number 1861469017
LBN Legal business name Kaelin, Charles Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 15th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861469017 NPPES
Other 3080389 MEDICARE PROVIDER ID
MEDICAID 3080380 MEDICARE PROVIDER ID

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