Individual
KIMBERLY D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 N HENDERSON AVE, SEVIERVILLE, TN 37862-5948
(865) 970-9800
(865) 374-7129
Mailing address
1451 DOWELL SPRINGS BLVD, SUITE 101, KNOXVILLE, TN 37909-2450
(865) 374-7123
(865) 374-7129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
130316
TN
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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