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General NPI Number Information
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NPI Number | 1275019606
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Entity Type | Individual
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Provider Name | KELLY VO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 259 N PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-4923
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Country | US
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Telephone | 865-690-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 2497 S ROANE ST STE 110
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City | HARRIMAN
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State | TN
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Zip | 37748-8666
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Country | US
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Telephone | 865-297-4499
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Fax | 865-234-8924
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000024267
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License Number State | TN
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