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NPI Code Detail

MEDICARE: KETURAH DRIVER

MEDICARE: KETURAH DRIVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1326981648
Entity Type Code : Individual
Provider Name (Legal Business Name) : KETURAH DRIVER
Provider Business Mailing Address
First Line : 4505 SARDIUS DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-8581
Country : US
Telephone Number : 901-444-2150
Fax Number :
Provider Business Practice Location Address
First Line : 1173 ROCK SPRINGS RD STE 105
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8414
Country : US
Telephone Number : 615-220-5796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “ KETURAH DRIVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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