Individual
KELLY E HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 W STONE DR STE 110, KINGSPORT, TN 37660-6027
(423) 224-3701
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024180875
VA
363LF0000X
Family Nurse Practitioner
153499
MO
363LF0000X
Family Nurse Practitioner
27841
TN
363LF0000X
Family Nurse Practitioner
Primary
5010643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425076205
—
MO
Enumeration date
08/31/2006
Last updated
04/02/2026
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