Individual
HALLIE R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1265 UNION AVE, DEPT OF NEUROLOGY, MEMPHIS, TN 38104
(901) 516-2312
(901) 516-7395
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21766
TN
363LA2100X
Acute Care Nurse Practitioner
21766
TN
Other
Enumeration date
09/26/2016
Last updated
04/09/2025
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