Provider Demographics
NPI:1083003602
Name:HATTON, KELSEY (AUD)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:HATTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT BILL WILKERSON CTR MEDICAL CTR E
Practice Address - Street 2:1215 21ST AVE SOUTH, SUITE 9302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8025
Practice Address - Country:US
Practice Address - Phone:615-343-6044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001674231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist