MEDICARE: WESLEY & KLIPPENSTEIN, PC

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	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician		TN

General Provider Information

NPI Number	:	1023025475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESLEY & KLIPPENSTEIN, PC

Provider Business Mailing Address
First Line	:	1800 CHURCH ST
Second Line	:	SUITE 100
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2233
Country	:	US
Telephone Number	:	615-329-3624
Fax Number	:	615-329-0639

Provider Business Practice Location Address
First Line	:	1800 CHURCH ST
Second Line	:	SUITE 100
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2233
Country	:	US
Telephone Number	:	615-329-3624
Fax Number	:	615-329-0639

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KIMBERLY ANNE KLIPPENSTEIN
Credential	:	MD
Telephone Number	:	615-329-3624

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	04/26/2023

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