Most Relevant Information
Provider Data
NPI Number: | 1003353699 |
Provider Name: | KELIEA ANN WINSTEAD PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | 3201 |
Most Important Dates
Enumeration Date: | 01/21/2017 |
Last Updated: | 07/03/2024 |
Provider Practice Location
205 HOSPITAL DR
MC KENZIE
TN
382011649
Practice Location Phone/Fax
Phone: | 7313527907 |
Fax: |
Provider Mailing Location
205 HOSPITAL DR
MC KENZIE
TN
382011649
Provider Mailing Phone/Fax
Phone: | 7313527907 |
Fax: | 7313524459 |