Individual
KELLIE KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 UNION SCHOOL RD, GALLATIN, TN 37066-2084
(615) 206-1100
(615) 206-9448
Mailing address
3413 OLD GALLATIN RD, SCOTTSVILLE, KY 42164-8944
(270) 618-1697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1124451
KY
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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