Individual
DR. GRACE KELLY VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(631) 605-1209
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
71490
TN
2084P0800X
Psychiatry Physician
Primary
4301512093
MI
2084P0800X
Psychiatry Physician
93769
SC
Other
Enumeration date
03/26/2020
Last updated
09/16/2025
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