| Doctor Name: | MRS. STEPHANIE KAELIN |
| NPI Number: | 1306106505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | APN0000016520 |
| Business Practice Address: | 274 Centre St Suite 100 Pleasant View, TN - 371467076 |
| Business Phone Number: | 6157468872 |
| Business Fax Number: | |
| Mailing Address: | 274 Centre St, Suite 100 PLEASANT VIEW |
| State: | TN |
| Postal Code: | 371467076 |
| Phone Number: | 6157468872 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2012 |
| NPI Last Update Date: | 04/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000016520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |