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1417990730
KELLY S OGGERO
KINGSPORT, TN
NPI
1417990730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TN 50412)
Additional Taxonomies
208600000X Surgery
(Licence: TX H0700)
Enumeration Date
2006-06-14
Last Update Date
2023-10-09
Business Address
Dr. KELLY S OGGERO M.D.
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660-3841
Phone number: 423-245-6101
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Mailing Address
Dr. KELLY S OGGERO M.D.
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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