Individual
KELLY RENAE RAINWATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1681 NORMAL DRIVE, BOWLING GREEN, KY 42101
(270) 745-2273
Mailing address
1230 HOMER CHAPEL RD, RUSSELLVILLE, KY 42276-8102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016285
KY
Other
Enumeration date
07/27/2021
Last updated
03/02/2026
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