Individual
STEPHEN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 14TH AVE S, BIRMINGHAM, AL 35205-4969
(205) 933-2250
(205) 933-2221
Mailing address
1830 14TH AVE S, BIRMINGHAM, AL 35205-4969
(205) 933-2250
(205) 933-2221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28419
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-1498286
IRS TAX ID
AL
Enumeration date
04/10/2007
Last updated
08/24/2016
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