Individual
DR. KELLY JEAN BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
664 SANGO RD, CLARKSVILLE, TN 37043-5489
(931) 368-1996
(931) 368-0448
Mailing address
3719 TARSUS RD, PALMYRA, TN 37142-2103
(931) 326-9241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC795
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133736
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/30/2006
Last updated
07/08/2007
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