MEDICARE: DR. KIRA LAUREN TRUNZO DILLARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0600X	Clinical Neurophysiology Physician	36.159940	IL
2	2084N0600X	Clinical Neurophysiology Physician	D0098690	MD
3	2084N0600X	Clinical Neurophysiology Physician	313369-01	NY
4	2084N0600X	Clinical Neurophysiology Physician	A162015	CA
5	2084N0600X	Clinical Neurophysiology Physician	64039	TN
6	2084N0600X	Clinical Neurophysiology Physician	T3612	TX
7	2084N0600X	Clinical Neurophysiology Physician	86931	SC

General Provider Information

NPI Number	:	1699155150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRA LAUREN TRUNZO DILLARD MD

Provider Business Mailing Address
First Line	:	336 22ND AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1844
Country	:	US
Telephone Number	:	615-346-8182
Fax Number	:	615-829-8970

Provider Business Practice Location Address
First Line	:	8002 PARK OVERLOOK DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-2724
Country	:	US
Telephone Number	:	615-346-8182
Fax Number	:	615-829-8970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2015
Last Update Date	:	12/04/2025

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