Individual
VICTORIANA LOPEZ KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
795 GEORGE WALLACE DR W, RAINSVILLE, AL 35986-5724
(601) 590-3006
Mailing address
795 GEORGE WALLACE DR W, RAINSVILLE, AL 35986-5724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-189073
AL
Other
Enumeration date
03/06/2021
Last updated
01/25/2024
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