Individual
KELLIE L MATHEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2030 FALLING WATERS RD STE 325, KNOXVILLE, TN 37922-5893
(865) 951-1300
Mailing address
2030 FALLING WATERS RD STE 325, KNOXVILLE, TN 37922-5893
(865) 951-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112416
TN
363L00000X
Nurse Practitioner
Primary
15629
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523154
—
TN
Enumeration date
03/15/2011
Last updated
07/25/2025
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