Provider Demographics
NPI:1871614370
Name:HOLMES, KEREN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KEREN
Middle Name:MARIE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3098 CAMPBELL STATION PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6270
Mailing Address - Country:US
Mailing Address - Phone:615-302-1111
Mailing Address - Fax:615-302-2853
Practice Address - Street 1:4230 HARDING PIKE STE 222
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-302-1111
Practice Address - Fax:153-017-0358
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA059427207Q00000X
TN0000043713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty