Individual
CHRISTINE LAUREL ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6914 OFFICE PARK CIR, KNOXVILLE, TN 37909-1161
(865) 200-8364
Mailing address
598 JOHN DEERE DR, MAYNARDVILLE, TN 37807-3212
(865) 745-1615
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
216070
TN
363LF0000X
Family Nurse Practitioner
117266
WV
363LF0000X
Family Nurse Practitioner
25262
SC
363LF0000X
Family Nurse Practitioner
Primary
27740
TN
Other
Enumeration date
10/25/2017
Last updated
02/18/2025
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