Individual
KELLI WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
105 W STONE DR STE 2A, KINGSPORT, TN 37660-3365
(423) 230-2430
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN0000081544
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APN0000013618
TN
Other
Enumeration date
08/18/2008
Last updated
08/02/2024
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