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Individual
DR. EARL LEE KELLY
Active
Individual
DR. EARL LEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17353
TN
207QA0505X
Adult Medicine Physician
MD0000017353
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD17353
TN
Other
Enumeration date
08/18/2006
Last updated
09/10/2014
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