Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Tyler Kelley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467941187

Justin Tyler Kelley is a Pathology in Nashville, Tennessee. Graduated from Wright State University Boonshoft School of Medicine in 2018, 8 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
TN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Nashville, TN

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1301 Catherine Street, Ann Arbor, MI 48109-5602 — (734) 764-3270

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 67650 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467941187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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