Individual
KELLY J SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 S CROSS BRIDGES RD, MT PLEASANT, TN 38474-1714
(931) 379-5821
(931) 379-5867
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 379-5867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
05
—
3892341
—
TN
01
—
4085273
BCBSTN
TN
Enumeration date
10/04/2006
Last updated
10/04/2010
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