Provider Demographics
NPI:1851709117
Name:KLEINROCK, MARCI LEVY (PA-C)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:LEVY
Last Name:KLEINROCK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:DIANE
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 RICHARD JONES RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2885
Mailing Address - Country:US
Mailing Address - Phone:615-383-2400
Mailing Address - Fax:615-385-0387
Practice Address - Street 1:2000 RICHARD JONES RD STE 220
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215
Practice Address - Country:US
Practice Address - Phone:615-383-2400
Practice Address - Fax:615-385-0387
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3341363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant