Individual
MRS. KELLINA ELIZABETH RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
320 RING RD, ELIZABETHTOWN, KY 42701-6777
(270) 769-3377
Mailing address
1454 CRESTVIEW DR, RADCLIFF, KY 40160-9592
(270) 769-3377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1103930
KY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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