Individual
KALA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
324 COMMONS DR, BIRMINGHAM, AL 35209-6962
(205) 961-3550
Mailing address
12850 LEONARD ROBINSON LN, FAIRHOPE, AL 36532-6126
(251) 504-6364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-171963
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-171963
AL
Other
Enumeration date
03/13/2025
Last updated
03/18/2025
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