KELLEY LOGAN

CARTHAGE, TN
NPI1730502733
Former NameKELLEY BASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  17924)
Enumeration Date2014-01-27
Last Update Date2021-12-27
Business Address
KELLEY LOGAN FNP-BC
573 CARTHAGE BYP
CARTHAGE, TN 37030-1573
Phone number: 615-486-6178
Mailing Address
KELLEY LOGAN FNP-BC
427 WATERBROOK DR
MOUNT JULIET, TN 37122-4252
Phone number: 615-972-0077
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