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General NPI Number Information
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NPI Number | 1780156018
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Entity Type | Organization
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Legal Business Name | WILLIEM R. KELLEY DCPC
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 7221 OAK RIDGE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37931-2661
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Country | US
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Telephone | 865-693-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 7221 OAK RIDGE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37931-2661
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Country | US
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Telephone | 865-693-5350
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. WILLIEM R KELLEY
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Credential | DCPC
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Telephone | 865-693-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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