Healthcare Provider Details

I. General information

NPI: 1740333269
Provider Name (Legal Business Name): SUZETTE A. KELLY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZETTE A. HORNSBY-ODOI M.D.

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 8TH AVE S
NASHVILLE TN
37203-4139
US

IV. Provider business mailing address

2711 FOSTER AVE
NASHVILLE TN
37210-5307
US

V. Phone/Fax

Practice location:
  • Phone: 615-227-3000
  • Fax:
Mailing address:
  • Phone: 615-227-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD39878
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD0000039878
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: