Sandra M. Kennel in Old Hickory - Nutrition Support
Sandra M. Kennel - NPI 1700896362
Sandra M. Kennel is a Nutrition Support in Old Hickory, Tennessee. Sandra M. Kennel practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Sandra M. Kennel is 1700896362. The last update date is 2017-12-07.
Sandra M. Kennel's current location address is 4437 S Trace Blvd, Old Hickory, Tennessee. You can contact this provider via phone number 6158474213. The mailing address for Sandra M. Kennel is 4437 S Trace Blvd, Old Hickory, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra M. Kennel |
|---|---|
| Address | 4437 S Trace Blvd, Old Hickory, Tennessee |
| Phone Number | 6158474213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH PHARMD |
NPI Number Detail
| NPI Number | 1700896362 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2017-12-07 |
Provider Mailing Address Detail
| Address | 4437 S Trace Blvd |
|---|---|
| City | Old Hickory |
| State | Tennessee (TN) |
| Post Code | 371384206 |
| Phone Number | 6158474213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 7691 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the unique 10-digit identification code issued to Sandra M. Kennel by the Centers for Medicare & Medicaid Services?
The Sandra M. Kennel has been assigned the NPI (National Provider Identifier) 1700896362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Sandra M. Kennel is geographically located?
The Sandra M. Kennel is physically situated at the following location: 4437 S Trace Blvd, Old Hickory, TN, 371384206.
What is the area of specialization for Sandra M. Kennel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sandra M. Kennel is Nutrition Support, and the corresponding taxonomy code that categorizes this area of expertise is 1835N1003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700896362 to Sandra M. Kennel?
The Centers for Medicare & Medicaid Services originally issued the 1700896362 to Sandra M. Kennel on 2006-08-08.
As of what date were the Sandra M. Kennel's details last updated?
The information pertaining to the Sandra M. Kennel, including its address, specialty, and other details, was most recently updated on 2017-12-07.