Individual
MRS. REBECCA WILSON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2350 HARGROVE RD E, TUSCALOOSA, AL 35405-2612
(205) 562-6900
(205) 759-4039
Mailing address
201 MONROE ST, SUITE 1350, MONTGOMERY, AL 36104-3735
(334) 206-5675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-114513
AL
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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