Individual
KIRBY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
Mailing address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1455
AL
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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