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General NPI Number Information
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NPI Number | 1093502346
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Entity Type | Individual
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Provider Name | AMY KELLEY NP
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 877-516-7492
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Fax |
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Provider Business Mailing Address
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Address Line | 129 WESTON DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-1508
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Country | US
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Telephone | 931-310-7000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 38546
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License Number State | TN
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