Individual
KELLI STRUBBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1104 SIGNAL RD, SIGNAL MOUNTAIN, TN 37377-3122
(423) 208-1960
Mailing address
1104 SIGNAL RD, SIGNAL MOUNTAIN, TN 37377-3122
(423) 208-1960
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5360
TN
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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