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Dr. Kelly Kristina Peaks, DDS

Dentist, General Practice in Clarksville, TN. Individual provider (NPI-1).

NPI number1457586331
StatusActive
Last updated in NPPESJun 18, 2009

Details

NPI
1457586331
Entity type
Individual (NPI-1)
Name
Dr. Kelly Kristina Peaks
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2009
Last updated
Jun 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8986TNYes

Practice location

2305 Rudolphtown Rd
Clarksville, TN 37043-2228

Phone 931-645-6362

Mailing address

2305 Rudolphtown Rd
Clarksville, TN 37043-2228

Phone 931-645-6362

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