Individual
PROF. KELLY CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DOVER ST, SHELBYVILLE, TN 37160-2776
(931) 684-0000
(931) 684-5860
Mailing address
140 DOVER ST, SHELBYVILLE, TN 37160-2776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
143620
TN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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