KELLY K IDLER

GOODLETTSVILLE, TN
NPI1548582588
Former NameKELLY K GENTRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  APN6529)
Enumeration Date2010-02-18
Last Update Date2022-03-21
Business Address
KELLY K IDLER NP
3103 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN 37072-3676
Phone number: 615-851-7865
Mailing Address
KELLY K IDLER NP
3103 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN 37072-3676
Phone number: 615-851-7865
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