Dr. Shane E Kelley, M.D.
Internal Medicine in Knoxville, TN. Individual provider (NPI-1).
NPI number1891007605
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1891007605
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane E Kelley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2010
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 49860 | TN | Yes |
Practice location
4117 E Emory RdKnoxville, TN 37938-4229
Phone 865-922-2121 · Fax 865-922-0006
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 865-584-1363
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