Individual
SHELBY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E JAMES CAMPBELL BLVD, 101, COLUMBIA, TN 38401
(615) 410-4990
Mailing address
230 E JAMES CAMPBELL BLVD, 101, COLUMBIA, TN 38401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30951
TN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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