Kelly, Shannon

Kelly, Shannon is an sole proprietor health care provider with primary practice located at 2792 Lea Lake Rd , Blaine TN 37709-5214. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kelly, Shannon can be contacted via phone (865) 661-5752.

Contact Information

Primary practice address
2792 Lea Lake Rd Blaine TN 37709-5214
Phone: (865) 661-5752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6823 Tennessee

Profile Details

NPI number 1578991790
LBN Legal business name Kelly, Shannon
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2013
Last updated Oct 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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