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Individual

KELLY MICHAEL FOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
305 DOVER RD, CLARKSVILLE, TN 37042-4157
(931) 552-6722
(931) 552-6979
Mailing address
305 DOVER RD, CLARKSVILLE, TN 37042-4157
(931) 552-6722
(931) 552-6979

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2160
TN

Other

Enumeration date
04/24/2007
Last updated
12/19/2012
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