Individual
DR. SEAN GARRETT KELLY
Active
Individual
DR. SEAN GARRETT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059248
IL
207R00000X
Internal Medicine Physician
54235
TN
207RI0200X
Infectious Disease Physician
Primary
54235
TN
Other
Enumeration date
12/02/2011
Last updated
03/23/2022
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