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Individual

JEFFREY GLEN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1840 MEDICAL CENTER PKWY, SUITE 200, MURFREESBORO, TN 37129-3199
(615) 217-1560
(615) 890-7838
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1896
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6026014
BCBS TN
TN
05
Q018735
TN
Enumeration date
12/02/2010
Last updated
12/11/2019
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