KELLEY FUNDERBURG

GERMANTOWN, TN
NPI1831621952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  22448)
Enumeration Date2017-03-29
Last Update Date2022-10-05
Business Address
KELLEY FUNDERBURG APRN
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3100
Mailing Address
KELLEY FUNDERBURG APRN
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3100