Individual
LAUREN ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9430 PARK WEST BLVD STE 230, KNOXVILLE, TN 37923-4204
(865) 560-8550
(865) 560-8551
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q080936
—
TN
Enumeration date
01/27/2023
Last updated
10/13/2023
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