| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEYLEIGH ALFORD | 1992393490 | 2021-01-09 |
| Entity Type | Individual |
| Provider Name | Keyleigh Alford |
| Practice Office Address | 139 E OLD TRENTON RD CLARKSVILLE, TN US |
| Practice Office Telephone | 8009916070 |
| Mailing Address | 139 E OLD TRENTON RD CLARKSVILLE, TN 370435845 US |
| Business Telephone | 8009916070 |
| Code | License No | State |
|---|---|---|
| 106S00000X PRIMARY |