Individual
KAITLYN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
87 N OAK GROVE RD, MEMPHIS, TN 38120-1920
(901) 612-0846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32109
TN
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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