Most Relevant Information
Provider Data
| NPI Number: | 1003268053 |
| Provider Name: | KELLIE R. GABY FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 21304 |
Most Important Dates
| Enumeration Date: | 07/01/2016 |
| Last Updated: | 03/24/2023 |
Provider Practice Location
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE
TN
378045807
Practice Location Phone/Fax
| Phone: | 8652386430 |
| Fax: | 8652386444 |
Provider Mailing Location
103 W BROADWAY AVE
MARYVILLE
TN
378014703
Provider Mailing Phone/Fax
| Phone: | 8652731752 |
| Fax: | 8652731755 |