KELSEY B DEVAULT

JOHNSON CITY, TN
NPI1134714090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  29146)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
KELSEY B DEVAULT NP
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604-2641
Phone number: 423-794-5520
Mailing Address
KELSEY B DEVAULT NP
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5520
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