Individual
KELLY M MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2490 PARR AVE, SUITE 3, DYERSBURG, TN 38024-2029
(731) 286-8007
(731) 286-8019
Mailing address
2490 PARR AVE, SUITE 3, DYERSBURG, TN 38024-2029
(731) 286-8007
(731) 286-8019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13555
TN
Other
Enumeration date
07/24/2008
Last updated
03/07/2023
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