Individual
KELLIE COLLINS GALLAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8440
Mailing address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222034
TN
363L00000X
Nurse Practitioner
Primary
26533
TN
Other
Enumeration date
09/04/2019
Last updated
12/07/2021
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