Provider Demographics
NPI:1740646835
Name:KIRKENDOLL, SHELLIA (MA, BS, CPLC, CHT)
Entity type:Individual
Prefix:
First Name:SHELLIA
Middle Name:
Last Name:KIRKENDOLL
Suffix:
Gender:F
Credentials:MA, BS, CPLC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CHURCH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2285
Mailing Address - Country:US
Mailing Address - Phone:615-479-8460
Mailing Address - Fax:
Practice Address - Street 1:1900 CHURCH ST STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2285
Practice Address - Country:US
Practice Address - Phone:615-479-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist