Individual
KELLY YOUNG KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2121 BELLEVUE RD, DUBLIN, GA 31021-2952
(478) 272-2051
(478) 275-6517
Mailing address
2121B BELLEVUE RD, DUBLIN, GA 31021-2952
(478) 275-6545
(478) 275-6575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN148737
GA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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