Individual
KELLEY COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1237 GAY ST, DANDRIDGE, TN 37725-4723
(865) 712-8204
Mailing address
PO BOX 1352, DANDRIDGE, TN 37725-1352
(865) 712-8204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15275
TN
Other
Enumeration date
01/07/2011
Last updated
02/23/2017
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