Individual
KELLY LANE CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
339 TURNBERRY CIR, CLARKSVILLE, TN 37043-6370
(931) 249-5024
Mailing address
339 TURNBERRY CIR, CLARKSVILLE, TN 37043-6370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191584
TN
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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