Individual
KELSIE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
Mailing address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 0000207309
TN
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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