NPI 1295543593

Ragen Kelsey Medlock

Practitioner Peer Specialist Chattanooga, TN

Practice location

Address: 960 Airport Rd, Chattanooga, TN 37421-3530
Phone: (423) 756-1295
Mailing address: 200 Tech Center Dr, Knoxville, TN 37912-2747

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1295543593
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2024
Record last updated: 19 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.