| Doctor Name: | MRS. KELLIE DOBIAS COFFEY |
| NPI Number: | 1063637270 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 12643 |
| Business Practice Address: | 110 Weakley Creek Rd Lawrenceburg, TN - 384642238 |
| Business Phone Number: | 9317665001 |
| Business Fax Number: | 9317623800 |
| Mailing Address: | 413 Douglas Dr, LAWRENCEBURG |
| State: | TN |
| Postal Code: | 384642734 |
| Phone Number: | 6154307038 |
| Fax Number: | 9317623800 |
| NPI Enumeration Date: | 04/14/2007 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 12643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |