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Individual

KANDI L GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
32020 NW 1ST AVE, CARBON HILL, AL 35549
(205) 924-0050
(205) 924-0065
Mailing address
PO BOX 187, CARBON HILL, AL 35549-0187
(205) 924-0050
(205) 924-0065

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2144
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51532604
BC/BS
AL
05
529900540
AL
Enumeration date
09/27/2006
Last updated
11/19/2009
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