KELLY RENAE RAINWATERS

GLASGOW, KY
NPI1811660772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3016285)
Enumeration Date2021-07-27
Last Update Date2022-02-06
Business Address
KELLY RENAE RAINWATERS APRN
300 WESTWOOD ST
GLASGOW, KY 42141-1030
Phone number: 731-394-1145
Mailing Address
KELLY RENAE RAINWATERS APRN
1230 HOMER CHAPEL RD
RUSSELLVILLE, KY 42276-8102
Phone number: