Individual
KELLY POWERS ROVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 FILLINGIM STREET, MOBILE, AL 36617-2238
(251) 471-7790
(251) 471-7715
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 471-7790
(251) 471-7715
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
16954
AL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
16954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000203045
—
AL
Enumeration date
11/10/2005
Last updated
05/12/2015
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