Individual provider · Type 1 NPI

Jaan Kelly, PA-C

Medical Physician Assistant · Knoxville, TN

NPI number 1831189190 Active

Practice location

9330 Park West Blvd, Suite 202
Knoxville, TN 37923-4308

Fax (865) 694-8018

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1072 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1831189190

Jaan Kelly, PA-C's National Provider Identifier is 1831189190, issued on Oct 26, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Dec 9, 2010.