Individual
KIMBERLY LYNN TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 927-8525
Mailing address
17 BUCKTHORN CV, JACKSON, TN 38305-6653
(731) 661-9520
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000066007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448133
—
TN
Enumeration date
07/06/2007
Last updated
08/15/2008
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