Individual
KATHLEEN ANN RAYBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
402 CLARK ST, ROCKVILLE, IN 47872-1905
(765) 592-0268
Mailing address
402 CLARK ST, ROCKVILLE, IN 47872-1905
(765) 592-0268
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28225563A
IN
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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