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Search › Tennessee › 101YP2500X

Laura Kellicut, MA

NPI 1922181601 · on the registry since 2006

Practice

Address
109 W Watauga Ave
Johnson City, TN 37604
Phone
(423) 232-2600
Fax
(423) 467-3644
Organisation at this address
Frontier Health
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
169

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
171M00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee