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Individual

DR. KELLI SHANNON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
204 N ANDERSON LN, HENDERSONVILLE, TN 37075-6926
(615) 826-1611
Mailing address
204 N ANDERSON LN, HENDERSONVILLE, TN 37075-6926
(615) 826-7658

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2192
TN

Other

Enumeration date
09/27/2006
Last updated
02/21/2023
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