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Individual

FRANK J. KELLY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 SIVLEY RD SW, SUITE 620, HUNTSVILLE, AL 35801-5134
(256) 265-4600
(256) 265-4651
Mailing address
PO BOX 2705, STE 220, HUNTSVILLE, AL 35804-2705
(256) 801-6048
(256) 801-6218

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
00019355
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009941926
AL
05
009955755
AL
01
2230930
FIRST HEALTH PROVIDER #
AL
01
510-50070
BCBS OF ALABAMA
AL
01
515-19377
BCBS OF AL PROVIDER #
AL
01
515-35231
BCBS OF AL
AL
05
528701110
AL
01
5492768
CCN PROVIDER NUMBER
AL
01
7008083
AETNA PROVIDER NUMBER
AL
01
CA0084
RR MEDICARE
AL
01
DD6388
RAILROAD MCARE PROV. #
AL
01
G38565
VIVA HEALTH PROVIDER #
AL
01
P00603054
RR MEDICARE
AL
Enumeration date
09/16/2005
Last updated
01/11/2017
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