Provider Demographics
NPI:1578639951
Name:KLUWE, GENA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:GENA
Middle Name:KAY
Last Name:KLUWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GENA
Other - Middle Name:KAY
Other - Last Name:MCKINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2300 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1538
Mailing Address - Country:US
Mailing Address - Phone:615-927-7934
Mailing Address - Fax:
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1538
Practice Address - Country:US
Practice Address - Phone:615-927-7934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38884208M00000X, 207RH0002X
MI4301086810207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301086810OtherSTATE LICENSE
TN1514423Medicaid
TN38884OtherTN LICENSE
MIP27690009Medicare ID - Type Unspecified
TN38884OtherTN LICENSE
TN1514423Medicaid
MI0P27690Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER