Individual
KATI KERR CARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2022 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 268-4360
(865) 329-6507
Mailing address
209 BONNIE VISTA DR, MARYVILLE, TN 37804-3665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059100
—
TN
Enumeration date
04/29/2019
Last updated
09/22/2020
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