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NPI Code Detail

MEDICARE: KELLY C MCGEE NP C

MEDICARE:   KELLY C MCGEE  NP C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner09910OH

General Provider Information

NPI Number : 1437318938
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY C MCGEE NP C
Provider Business Mailing Address
First Line : 8 CADILLAC DR
Second Line : SUITE 250
City : BRENTWOOD
State : TN
Zip : 37027-5087
Country : US
Telephone Number : 615-425-4200
Fax Number : 615-425-4271
Provider Business Practice Location Address
First Line : 3301 NAVARNE AVENUE
Second Line :
City : OREGON
State : OH
Zip : 43616
Country : US
Telephone Number : 419-464-7878
Fax Number : 419-466-7877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 08/29/2008

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