Individual
KELLY TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
(615) 418-2916
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21839
TN
Other
Enumeration date
10/20/2016
Last updated
03/30/2023
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