Individual
KELLYE FRYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 790-7662
(423) 790-7664
Mailing address
4662 E CIRCLE DR NW, CLEVELAND, TN 37312-4101
(423) 790-7662
(423) 790-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31553
TN
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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