Individual
KELLEY RAMSAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MT212627
PA
207N00000X
Dermatology Physician
Primary
TN61249
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
07/21/2020
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