Individual provider · Type 1 NPI

Kelly Lin Licht, APN

Family Nurse Practitioner · Chattanooga, TN

NPI number 1336589845 Active

Practice location

2501 Citico Ave
Chattanooga, TN 37404-1127

Call (423) 697-2000 Map

Fax (423) 697-2118

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	17739 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1336589845

Kelly Lin Licht, APN's National Provider Identifier is 1336589845, issued on Jun 28, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Nov 26, 2025.