Healthcare Provider Details

I. General information

NPI: 1588529879
Provider Name (Legal Business Name): KENNEDY LAPORTE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BELMONT BLVD
NASHVILLE TN
37212-3757
US

IV. Provider business mailing address

391 BELLE VALLEY DR
NASHVILLE TN
37209-5136
US

V. Phone/Fax

Practice location:
  • Phone: 615-460-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number49248
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: