License holder summary

BLACK , KELLY ANN is a Department Of Health - Physical Therapist Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 07/28/2005 and expired on 05/31/2008.

Department of Health

Board of Medical Examiners

BLACK , KELLY ANN
Department Of Health - Physical Therapist Assistant
License number
3825
Date granted
07/28/2005
Date expires
05/31/2008
Class
Department Of Health - Physical Therapist Assistant
Status
Expired
Address
medicaltn.com
ID 42328852
LAST UPDATED 2026-06-08 09:59:37 UTC

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