Individual
KELLY RENFRO SLIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 10TH STREET, TUCSON, AZ 85719
(520) 731-5000
(520) 731-5001
Mailing address
10629 E AVALON PARK ST, TUCSON, AZ 85747
(520) 885-1518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN087196
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913245
—
AZ
Enumeration date
06/22/2007
Last updated
07/08/2007
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