Individual
DR. KELLY L LISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 W 3RD NORTH ST, SUITE A, MORRISTOWN, TN 37814-3887
(423) 586-3240
(423) 581-0229
Mailing address
PO BOX 310, MORRISTOWN, TN 37815-0310
(423) 586-3240
(423) 581-0229
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0000020077
TN
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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