Most Relevant Information
Provider Data
| NPI Number: | 1003548025 |
| Provider Name: | DONA FAY RENFRO |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 110163 |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
500 TAYLORSVILLE RD
SHELBYVILLE
KY
400658104
Practice Location Phone/Fax
| Phone: | 5026335685 |
| Fax: | 5026339539 |
Provider Mailing Location
500 TAYLORSVILLE RD
SHELBYVILLE
KY
400658104
Provider Mailing Phone/Fax
| Phone: | 5026335685 |
| Fax: | 5026339539 |