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Contact Information

VIRGINIA L KELLY, CRNA
2121 MEDICAL CENTRE WAY
SUITE 100
KNOXVILLE, TN37920
 Phone: 606-337-3051
 Fax: 606-337-2871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for VIRGINIA L KELLY · (Female)

NPI Number 1184619306
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/14/2005
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 1072826/4024A
  • TN License # 14631
  • KY Medicaid 74006362
  • Other 000000276584 ANTHEM BC&BS
  • KY Other P00078424 RAILROAD MEDICARE
Hospital affiliation(s)
  • TENNOVA HEALTHCARE - (Acute Care)
    900 EAST OAK HILL AVENUE
    KNOXVILLE, TN 37917
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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