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1104074822
KELLI D TIDWELL
KNOXVILLE, TN
NPI
1104074822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN0000007947)
Enumeration Date
2008-09-06
Last Update Date
2021-05-17
Business Address
KELLI D TIDWELL FNP
1450 DOWELL SPRINGS BLVD SUITE 300
KNOXVILLE, TN 37909
Phone number: 865-637-8812
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Mailing Address
KELLI D TIDWELL FNP
1450 DOWELL SPRINGS BLVD SUITE 300
KNOXVILLE, TN 37909
Phone number: 865-637-8812
Copy
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