Healthcare Provider Details

I. General information

NPI: 1811162803
Provider Name (Legal Business Name): DAVID KIRK VAKEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 NEW SHACKLE ISLAND ROAD EMERGENCY DEPARTMENT
HENDERSONVILLE TN
37075-2479
US

IV. Provider business mailing address

P.O. BOX 2019
MADISON TN
37116-2019
US

V. Phone/Fax

Practice location:
  • Phone: 615-338-1258
  • Fax: 615-338-1251
Mailing address:
  • Phone: 615-860-8822
  • Fax: 615-865-1598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number46798
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number46798
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: