Provider Demographics
NPI:1255908091
Name:KASER, KRISTEN GRACE
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:GRACE
Last Name:KASER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:GRACE
Other - Last Name:DINSMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 WINDSOR GREEN CT STE 101
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2237
Mailing Address - Country:US
Mailing Address - Phone:615-859-8488
Mailing Address - Fax:615-859-8696
Practice Address - Street 1:401 WINDSOR GREEN CT STE 101
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2237
Practice Address - Country:US
Practice Address - Phone:615-859-8488
Practice Address - Fax:615-859-8696
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5220363A00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine