Kelly Clifford
Individual provider Active NPI Registered Nurse · Shelbyville, TN
NPI 1851422968 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851422968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 143620 (TN)
- Practice address
- 140 Dover St
Shelbyville, TN 37160-2776 - Phone
- (931) 684-0000
- Fax
- (931) 684-5860
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143620 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 143620 | TN | Yes |
Addresses
Primary practice location
140 Dover St
Shelbyville, TN 37160-2776
Mailing address
140 Dover St
Shelbyville, TN 37160-2776
Other providers in Shelbyville, TN
- Clark Clements Dental PLLC
- James H Clark
- William Clement
- Clements Dental PLLC
- Tara Amanda Clements
- Olivia Clifton
- Kirston Clinton
- Tiffany Coggins
- Dustin Tait Coker
- Robert James Colasso
All providers in Shelbyville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.