Individual
KELSEY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-5760
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30959
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q071703
—
TN
Enumeration date
09/13/2021
Last updated
12/01/2025
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