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1942750906
KELLY THOMASON
GREENEVILLE, TN
NPI
1942750906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 21773)
Enumeration Date
2016-10-13
Last Update Date
2022-04-08
Business Address
KELLY THOMASON
211 N MAIN ST
GREENEVILLE, TN 37745
Phone number: 423-787-6050
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Mailing Address
KELLY THOMASON
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895
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