Individual
MS. KELLY A. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2347 JONES BEND RD, PENINSULA HOSPITAL, LOUISVILLE, TN 37777-5213
(865) 970-9800
Mailing address
423 MEDICAL PARK DR STE 200, LENOIR CITY, TN 37772-5641
(865) 970-9800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13956
TN
Other
Enumeration date
04/03/2009
Last updated
04/19/2011
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