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1548582588
KELLY K IDLER
GOODLETTSVILLE, TN
NPI
1548582588
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Former Name
KELLY K GENTRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TN APN6529)
Enumeration Date
2010-02-18
Last Update Date
2022-03-21
Business Address
KELLY K IDLER NP
3103 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN 37072-3676
Phone number: 615-851-7865
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Mailing Address
KELLY K IDLER NP
3103 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN 37072-3676
Phone number: 615-851-7865
Copy
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