Individual
KIMBERLY LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-8593
Mailing address
2964 HILHAM HWY, HILHAM, TN 38568-5610
(931) 397-1303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71783
TN
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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