Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | MD51605 | TN |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 51605 | TN |
NPI | 1003077728 |
---|---|
Provider Name | Dr. Clayton Allen Kaiser |
First Address | Nashville, TN 37203-5180 |
Second Address | Nashville, TN 37205-2094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 16/08/2019 |