Individual
MRS. DIANE LEE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1080 2ND ST, CHEROKEE, AL 35616-7328
(256) 359-4519
(256) 359-4516
Mailing address
1080 2ND ST, CHEROKEE, AL 35616-7328
(256) 359-4519
(256) 359-4516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1040028
AL
363LF0000X
Family Nurse Practitioner
13178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283873
—
AL
Enumeration date
10/20/2006
Last updated
12/01/2025
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