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1720537640
KELLY RENEA ALSUP
MARYVILLE, TN
NPI
1720537640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21762)
Enumeration Date
2016-10-04
Last Update Date
2024-04-15
Business Address
Mrs. KELLY RENEA ALSUP FNP-C
270 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5904
Phone number: 865-546-1642
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Mailing Address
Mrs. KELLY RENEA ALSUP FNP-C
270 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5904
Phone number: 865-681-0103
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