Individual
KELLY HENSON CHANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
700 SUNSET DR, SUITE 602, ATHENS, GA 30606-2293
(706) 353-0711
(706) 613-8454
Mailing address
700 SUNSET DR, SUITE 602, ATHENS, GA 30606-2293
(706) 353-0711
(706) 613-8454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117407
GA
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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