Individual
DR. JAYNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1975 NONCONNAH BLVD, MEMPHIS, TN 38132-2108
(901) 337-1625
Mailing address
1975 NONCONNAH BLVD, MEMPHIS, TN 38132-2108
(901) 337-1625
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53460
TN
207RI0011X
Interventional Cardiology Physician
Primary
53460
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
04/05/2023
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