Individual
KELLEY A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
127 CRESTVIEW PARK DR STE 114, DICKSON, TN 37055-2854
(615) 441-4549
(615) 441-4544
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN15129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521302
—
TN
Enumeration date
09/29/2010
Last updated
04/16/2021
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