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Individual

KELLI A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
805 SAINT VINCENTS DR, SUITE A, BIRMINGHAM, AL 35205-1636
(205) 212-9435
(205) 212-3299
Mailing address
805 SAINT VINCENTS DR, SUITE A, BIRMINGHAM, AL 35205-1636
(205) 212-9435
(205) 212-3299

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1783
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051535137
BCBS OF AL
AL
01
60640
BCBS OF AL
AL
01
630648108469PT
VIVA
AL
Enumeration date
08/14/2006
Last updated
07/29/2015
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