Individual
KELSEY REAL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 INVERNESS CENTER DR, BIRMINGHAM, AL 35242-4834
(205) 997-2966
(205) 379-6842
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.43941
AL
207ND0101X
MOHS-Micrographic Surgery Physician
MD.43941
AL
Other
Enumeration date
04/10/2018
Last updated
09/25/2024
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