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Individual

KELLY SUZANNE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
101 WALNUT LN, COLUMBIA, TN 38401-4943
(931) 381-3112
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 1110, AUSTIN, TX 78759-7203
(877) 279-5960

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
38020
TN

Other

Enumeration date
09/21/2021
Last updated
02/12/2025
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