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Individual

KELLEY VON SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3362 S 3RD ST, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38109-2944
(901) 271-6300
(901) 260-8590
Mailing address
6078 FLYNTHILL DR, BARTLETT, TN 38135-2314
(901) 385-6257

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000008317
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1509516
TN
Enumeration date
11/15/2006
Last updated
05/26/2011
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