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Individual

KELLY ELIZABETH ORDEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(504) 453-5872
Mailing address
175 CLOVER ST, ATHENS, GA 30606-3066
(504) 453-5872

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
323461
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
100848
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2017
Last updated
09/23/2024
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