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Kelly Douglas
Student in an Organized Health Care Education/Training Program in Huntingdon, Tennessee
NPI 1912649120

Kelly Douglas is a Student in an Organized Health Care Education/Training Program based in Huntingdon, TN. Kelly Douglas practices in Huntingdon, TN. The NPI Number for Kelly Douglas is 1912649120 and holds a License No. (Tennessee).

The current practice location address for Kelly Douglas is 211 Maple St, Huntingdon, TN and can be reached out via phone at 731-415-4052.

Location: 211 Maple St, Huntingdon, TN, 38344-3124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912649120
Provider Name
Kelly Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
211 Maple St, Huntingdon, TN, 38344-3124
Phone Number
731-415-4052
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 Maple St
City
Huntingdon
State
Tennessee
Zip
38344-3124
Phone Number
731-415-4052
Fax Number
person
Provider Business Mailing Address Details
Address
211 Maple St
City
Huntingdon
State
Tennessee
Zip
38344-3124
Phone Number
731-415-4052
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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