Individual
KEITH HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 140C, HENDERSONVILLE, TN 37075-2366
(615) 826-5664
Mailing address
123 TRAIL RIDGE WAY, HENDERSONVILLE, TN 37075-2190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34210
TN
363LF0000X
Family Nurse Practitioner
Primary
34210
TN
Other
Enumeration date
07/10/2023
Last updated
06/25/2025
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