Individual provider · NPI-1

Kayley Boroughs

Physician Assistant · Jackson, TN

NPI number1730717828
StatusActive
Last updated in NPPESAug 12, 2021

Details

NPI
1730717828
Entity type
Individual (NPI-1)
Name
Kayley Boroughs
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2020
Certification date
Aug 12, 2021
Last updated
Aug 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Phone 731-541-5000

Mailing address

2703 Smiths Chapel Rd
Decaturville, TN 38329-4656

Phone 731-549-4027

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