Individual
KELLY RENAE RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
601 HWY 52 BYPASS EAST, TN DEPT OF HEALTH, LAFAYETTE, TN 37083
(615) 666-2142
Mailing address
1493 PARKHURST RD, RED BOILING SPRINGS, TN 37150-3049
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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