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1831621952
KELLEY FUNDERBURG
GERMANTOWN, TN
NPI
1831621952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22448)
Enumeration Date
2017-03-29
Last Update Date
2022-10-05
Business Address
KELLEY FUNDERBURG APRN
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3100
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Mailing Address
KELLEY FUNDERBURG APRN
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3100
Copy
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