Kellye S Johnson, CRNA
Nurse Anesthetist, Certified Registered in Knoxville, TN. Individual provider (NPI-1).
NPI number1669956009
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1669956009
- Entity type
- Individual (NPI-1)
- Name
- Kellye S Johnson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2018
- Last updated
- Oct 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24984 | TN | Yes |
Other names
- Kellye R Stone (Former Name)
Practice location
1924 Alcoa Hwy # U109Knoxville, TN 37920-1511
Phone 865-305-9220 · Fax 865-637-5518
Mailing address
Po Box 51947Knoxville, TN 37950-1947
Phone 865-588-0880 · Fax 865-584-3111
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