Huntland Clinic, Pllc

NPI 1073830147 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1073830147
Enumeration Date 04/28/2010
Last Updated 04/28/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KELLY B KELLY
Position NURSE PRACTITIONER
Phone (931) 469-0303
Fax (931) 469-0802
Practice Location
707 MAIN ST
HUNTLAND TN, 37345-3263, US
Phone (931) 469-0303
Fax (931) 469-0802
Business Location
P O BOX 141
HUNTLAND TN, 37345, US
Phone (931) 469-0303
Fax (931) 469-0802
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number 7935
Remove 1073830147 NPI Number
 

According to our database, Huntland Clinic, Pllc NPI is 1073830147, taxonomy code is 363LF0000X and license number is 7935, license state is located at Tennessee. Huntland Clinic, Pllc physically located at 707 Main St, Huntland TN, 37345-3263. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073830147 NPI number is provided on an as is basis without warranty of any kind. 1073830147 is maintained by the National Plan & Provider Enumeration System. The contents of Huntland Clinic, Pllc are for informational purposes only.