Individual
MR. JAMES PATRICK KELLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
5610 SPARTA HWY, CROSSVILLE, TN 38572-3924
(931) 218-6398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28550
TN
363LF0000X
Family Nurse Practitioner
4704286117
MI
Other
Enumeration date
05/08/2018
Last updated
08/24/2022
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