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1669956009
KELLYE S JOHNSON
KNOXVILLE, TN
NPI
1669956009
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Former Name
KELLYE R STONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 24984)
Enumeration Date
2018-09-21
Last Update Date
2018-10-23
Business Address
KELLYE S JOHNSON CRNA
1924 ALCOA HWY # U109
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9220
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Mailing Address
KELLYE S JOHNSON CRNA
PO BOX 51947
KNOXVILLE, TN 37950-1947
Phone number: 865-588-0880
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