Individual
DR. KELLY KRISTINA PEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2305 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2228
(931) 645-6362
Mailing address
2305 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2228
(931) 645-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8986
TN
Other
Enumeration date
05/21/2009
Last updated
06/18/2009
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