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1780003210
BRIAN KELLY
KNOXVILLE, TN
NPI
1780003210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 186890)
Enumeration Date
2014-04-11
Last Update Date
2014-04-11
Business Address
-- BRIAN KELLY CRNA
341 TRANE DR
KNOXVILLE, TN 37919-6053
Phone number: 865-588-0880
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Mailing Address
-- BRIAN KELLY CRNA
PO BOX 51947
KNOXVILLE, TN 37950-1947
Phone number: 865-588-0880
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