Individual
MRS. KELLY KATHLEEN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130-3931
(615) 893-2606
Mailing address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130-3931
(615) 893-2606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4191
TN
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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