Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kelly Lin Licht, APN

Individual provider Family Nurse Practitioner · NPI 1336589845

Mrs. Kelly Lin Licht, APN is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2013, 13 years ago. Practices with Memorial Health Care System Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2501 Citico Ave
Chattanooga, TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17739 (TN)

Record details

NPI number1336589845
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 28, 2013
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Memorial Health Care System Inc. — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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