Individual
KELLI EDWARDS RAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
(931) 503-0691
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
(931) 503-0691
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000012159
TN
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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