Provider Demographics
NPI:1386860054
Name:LIN, KEMING (MD)
Entity Type:Individual
Prefix:
First Name:KEMING
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 ADAMWOOD DR APT C8
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5222
Mailing Address - Country:US
Mailing Address - Phone:615-831-2966
Mailing Address - Fax:
Practice Address - Street 1:201 SUMMIT VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4645
Practice Address - Country:US
Practice Address - Phone:615-377-7112
Practice Address - Fax:615-263-1658
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNM00000039936246QH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHematology