Individual
KELLY A WARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11808 KINGSTON PIKE STE 160, KNOXVILLE, TN 37934-3838
(865) 966-3940
(833) 908-2099
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(865) 584-4747
(833) 908-0998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3342
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3342
STATE LICENSE
TN
05
—
Q010013
—
TN
Enumeration date
01/24/2007
Last updated
09/20/2024
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