Individual
BRIAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880
Mailing address
PO BOX 51947, KNOXVILLE, TN 37950-1947
(865) 588-0880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
186890
TN
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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