Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELVIN WREN, MD
Active Sole ProprietorKELVIN WREN, MD is a 202C00000X healthcare provider located in JACKSON, Tennessee. NPI 1033118633 is currently active in the NPPES registry. Verify at CMS.
202C00000X · JACKSON, TN
Registration Details
- NPI Number
- 1033118633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (20.886081180984 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
39598 (TN)39598 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
174 MURRAY GUARD DRSUITE DJACKSON, TN, 383053742Browse TN providers · Browse ZIP 38305
- Phone
- 7316604916
- Fax
- 7316606759
- Primary Specialty
-
202C00000X
202C00000X
- Additional Specialty
- 202C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.