Individual
KEALAN O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
104 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4300
(256) 772-4302
Mailing address
104 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4300
(256) 772-4302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2188
AL
Other
Enumeration date
03/09/2017
Last updated
04/12/2023
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