Individual
COURTNEY PARKER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 57TH ST S, BIRMINGHAM, AL 35212-2541
(205) 591-1101
Mailing address
1321 DUNSTON AVE, BIRMINGHAM, AL 35213-1601
(251) 401-6686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6533
AL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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