Individual
MRS. KATHY PAYNE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1850 OLD KNOXVILLE RD, TAZEWELL, TN 37879-3625
(423) 526-2224
(423) 626-0576
Mailing address
7818 EDEN LN, KNOXVILLE, TN 37938-3435
(865) 922-0784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09642
TN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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