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1992245401
KELLIE HUMPHREY
NASHVILLE, TN
NPI
1992245401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22357)
Enumeration Date
2017-03-02
Last Update Date
2019-11-23
Business Address
KELLIE HUMPHREY NP-C
5221 RAVENS GLN
NASHVILLE, TN 37211-8596
Phone number: 931-743-3559
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Mailing Address
KELLIE HUMPHREY NP-C
1493 ANTHONY WAY
MOUNT JULIET, TN 37122-3558
Phone number: 931-743-3559
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