Individual
MARK ALLEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 341-4000
Mailing address
411 GAMBREL ST, FRANKLIN, TN 37067-8687
(615) 480-3826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174012
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
19539
TN
Other
Enumeration date
11/18/2014
Last updated
02/09/2015
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