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1093270241
BETHANY JORDAN KELLEY
GERMANTOWN, TN
NPI
1093270241
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Former Name
BETHANY JORDAN KELLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25460)
Enumeration Date
2019-02-01
Last Update Date
2019-02-22
Business Address
BETHANY JORDAN KELLEY
7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138-1762
Phone number: 901-683-0055
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Mailing Address
BETHANY JORDAN KELLEY
5383 CHICKASAW RD
MEMPHIS, TN 38120-1742
Phone number:
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