Individual
MR. CHARLES LEE KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5058 SAINT IVES DR, MURFREESBORO, TN 37128-2762
(513) 515-6000
Mailing address
5058 SAINT IVES DR, MURFREESBORO, TN 37128-2762
(513) 515-6000
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
234042
TN
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
234042
TN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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