Individual provider · Type 1 NPI
Kevin Charles Conley
Psychiatric/Mental Health Nurse Practitioner · Mountain Home, TN
NPI number
1063170363
Active
Practice location
8 Dogwood Lane
Mountain Home, TN 37684
Mailing address
101 Santa Fe Dr
Bristol, TN 37620-6439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 30041 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063170363
Kevin Charles Conley's National Provider Identifier is 1063170363, issued on Dec 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mountain Home, TN. The record was last updated on Dec 3, 2021.