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Individual

MR. JONATHAN D KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1310 EASTERN VALLEY RD, BESSEMER, AL 35020-8609
(205) 425-5258
(205) 425-1373
Mailing address
4138 ALSTON LN, BIRMINGHAM, AL 35242-7434
(205) 967-6140
(205) 425-1373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13889
AL

Other

Enumeration date
08/20/2006
Last updated
07/08/2007
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