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NPI 1922499631

NPI 1922499631 : KELLY CURTIS : FRANKLIN, TN

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General NPI Number Information
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    NPI Number           |    1922499631
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY CURTIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/17/2015
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    9160 CAROTHERS PKWY STE 201 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-6698
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    Country              |    US
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    Telephone            |    615-721-6250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 638985 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45263-8995
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    6675
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    License Number State |    TN
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