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Individual

KAYLTIN RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
162 KENDALLWOOD DR, GAINESBORO, TN 38562-5589

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6421
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6421
RRT
TN
Enumeration date
04/23/2020
Last updated
04/23/2020
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