Individual
MRS. KELLI MONTZ DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 6TH AVE S FL 4, BIRMINGHAM, AL 35233-2110
(205) 996-5864
(205) 583-8043
Mailing address
2000 6TH AVE S FL 4, BIRMINGHAM, AL 35233-2110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-176031
AL
163WC0200X
Critical Care Medicine Registered Nurse
1-176031
AL
163WP2201X
Ambulatory Care Registered Nurse
1-176031
AL
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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