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Individual

MRS. KELLY J PIPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
423 MEDICAL PARK DR, SUITE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601
Mailing address
423 MEDICAL PARK DR, SUITE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-003039
IL
363AM0700X
Medical Physician Assistant
Primary
2169
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1531893
TN
Enumeration date
10/04/2007
Last updated
07/23/2021
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