Individual
DR. KELLIE ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6000
Mailing address
2305 CHAMBLISS AVE NW # 120, CLEVELAND, TN 37311-3847
(423) 559-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53961
KY
207Q00000X
Family Medicine Physician
Primary
46812
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2008
Last updated
11/19/2020
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