Individual
KAYLA NICOLE RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S CEDAR LN, PULASKI, TN 38478-3502
(931) 363-5506
Mailing address
209 S CEDAR LN, PULASKI, TN 38478-3502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000207194
TN
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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