Individual
MRS. KELLEY C BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 WOODLAWN AVE, DYERSBURG, TN 38024-2028
(731) 287-4500
(731) 287-4804
Mailing address
1700 WOODLAWN AVE, DYERSBURG, TN 38024-2028
(731) 287-4500
(731) 287-4804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14634
TN
Other
Enumeration date
12/09/2009
Last updated
06/17/2014
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