DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SANDRA LYNN KELLY, DTR

Active Sole Proprietor

136A00000X · MEMPHIS, TN

Registration Details

NPI Number
1750038865
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2022 (4.1242772664132 yrs)
Last Updated
Mar 8, 2022
License
975125 (TN)
Sole Proprietor
Yes

Practice Information

Address
262 DANNY THOMAS PL
MEMPHIS, TN, 381053678
Browse TN providers · Browse ZIP 38105
Phone
9015950499
Fax
9015953202
Primary Specialty
136A00000X
136A00000X

Other 136A00000X Providers in MEMPHIS, TN

Name Credential NPI
JILL CAROLAND BLASINGAME DTR 1730925983
GWENDOLYN ARNETT HALL DTR 1174355796
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.