Individual
ZANE PENTON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
(334) 283-4162
Mailing address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
(334) 283-4162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-134397
AL
Other
Enumeration date
11/01/2018
Last updated
07/14/2021
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