Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 4099 | TN |
Y | 207RG0300X | Geriatric Medicine | 4099 | TN |
NPI | 1144750431 |
---|---|
Provider Name | Dr. Chelsea Kaitlin Rick |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 11/08/2021 |