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Individual

KELLY GODBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-5038
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27796
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02371820
MS
01
051116029
BCBS
AL
01
051116033
BCBS
AL
01
051116036
BCBS
AL
01
051116039
BCBS
AL
05
128128
AL
05
128350
AL
05
128351
AL
05
128494
AL
Enumeration date
05/04/2007
Last updated
06/29/2023
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