Dr KELLY L BLAIR is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1993.
WEST TENNESSEE MEDICAL GROUP, INC
700 W FOREST AVE
SUITE 200
JACKSON
TN
383013940
Tel: 7315419490
| Npi | 1891711131 |
| Pac Id | 6507864923 |
| Professional Enrollment Id | I20061120000246 |
| Last Name | BLAIR |
| First Name | KELLY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
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| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Group Practice Pac Id | 3971781006 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 700 W FOREST AVE |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | JACKSON |
| State | TN |
| Zip Code | 383013940 |
| Phone Number | 7315419490 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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