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Kelly Thomason
Pediatric Nurse Practitioner in Greeneville, Tennessee
NPI 1942750906

Kelly Thomason is a Pediatric Nurse Practitioner based in Knoxville, TN and is specialized in Pediatrics. Kelly Thomason practices in Greeneville, TN. The NPI Number for Kelly Thomason is 1942750906 and holds a License No. 21773 (Tennessee).

The current practice location address for Kelly Thomason is 211 N Main St, Greeneville, TN and can be reached out via phone at 423-787-6050 and via fax at 423-787-6054.

Location: 211 N Main St, Greeneville, TN, 37901-5004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942750906
Provider Name
Kelly Thomason
Credential
Provider Entity Type
Individual
Gender
Female
Address
211 N Main St, Greeneville, TN, 37901-5004
Phone Number
423-787-6050
Fax Number
423-787-6054
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q053751 05 TN
institution
Provider Business Practice Location Address Details
Address
211 N Main St
City
Greeneville
State
Tennessee
Zip
37745
Phone Number
423-787-6050
Fax Number
423-787-6054
person
Provider Business Mailing Address Details
Address
211 N Main St
City
Greeneville
State
Tennessee
Zip
37745
Phone Number
423-787-6050
Fax Number
423-787-6054
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
21773 (Tennessee)
Definition
Definition to come...
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