Provider Demographics
NPI:1912719519
Name:SHROPSHIRE, KELSEY (MED, NCC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:SHROPSHIRE
Suffix:
Gender:F
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 FOREST WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:CORRYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37721-2561
Mailing Address - Country:US
Mailing Address - Phone:865-824-6102
Mailing Address - Fax:
Practice Address - Street 1:9041 EXECUTIVE PARK DR STE 136
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4664
Practice Address - Country:US
Practice Address - Phone:865-824-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health