Individual
KELLIE ROOK WINKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 265-3012
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 265-3012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097035
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116027
—
AL
05
—
116148
—
AL
05
—
116184
—
AL
05
—
116187
—
AL
05
—
116239
—
AL
01
—
511-02747
BCBS AL
AL
01
—
P00805749
RR MEDICARE
AL
Enumeration date
10/12/2009
Last updated
05/12/2010
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