Individual
NICHOLAS KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(606) 271-3157
Mailing address
315 HOSPITAL DR, MADISON, TN 37115-5030
(606) 271-3157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4015069
KY
Other
Enumeration date
09/08/2021
Last updated
02/07/2024
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