Individual
MR. KEVIN LEE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
234 W NORTHFIELD BLVD, MURFREESBORO, TN 37129-1590
(615) 895-6995
(615) 895-6994
Mailing address
PO BOX 599, SPENCERVILLE, MD 20868-0599
(240) 786-5804
(949) 862-5121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000000585
TN
Other
Enumeration date
02/23/2007
Last updated
04/24/2017
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