| Kids Are Special Llc | |
|
880 Colloredo Blvd Shelbyville TN 37160-2774 | |
| (931) 685-8111 | |
| Not Available |
| Full Name | Kids Are Special Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 880 Colloredo Blvd, Shelbyville, Tennessee |
| Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Are Special Llc 6550 Carothers Pkwy Ste 225 Franklin TN 37067-6662 Ph: (931) 253-1110 | Kids Are Special Llc 880 Colloredo Blvd Shelbyville TN 37160-2774 Ph: (931) 685-8111 |
| NPI Number | 1427774256 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427774256 | NPI | - | NPPES |
| Q007192 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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