Individual
DR. KELLI MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4400 W STONE DR, KINGSPORT, TN 37660-1051
(423) 247-3176
Mailing address
4400 W STONE DR, KINGSPORT, TN 37660-1051
(423) 247-3176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NON
TN
Enumeration date
11/20/2020
Last updated
11/20/2020
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