Organization
RAINBOW KIDS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M ARNOLD (OFFICE MANAGER)
(931) 553-6666
Entity
Organization
Contact information
Practice address
111 OTIS SMITH DR., CLARKSVILLE, TN 37043
(931) 553-6666
(931) 553-4006
Mailing address
111 OTIS SMITH DRIVE, CLARKSVILLE, TN 37043-4521
(931) 553-6666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27382
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3897887
—
TN
Enumeration date
12/23/2008
Last updated
10/25/2011
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