Individual
JILL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6212 DAYTON BLVD, SUITE B, HIXSON, TN 37343-2789
(423) 843-3700
Mailing address
6212 DAYTON BLVD, SUITE B, HIXSON, TN 37343-2789
(423) 843-3700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2
TN
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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