Individual
DONALD SHANE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3435
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17436
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938633
—
AL
05
—
009938634
—
AL
05
—
009938636
—
AL
05
—
009938637
—
AL
05
—
009938638
—
AL
05
—
009938639
—
AL
05
—
009938641
—
AL
05
—
009938642
—
AL
05
—
009985785
—
AL
01
—
051513024
BLUE CROSS
AL
05
—
051513024
—
AL
01
—
051513025
BLUE CROSS
AL
01
—
051513026
BLUE CROSS
AL
01
—
051513027
BLUE CROSS
AL
01
—
051513028
BLUE CROSS
AL
01
—
051513030
BLUE CROSS
AL
01
—
051513031
BLUE CROSS
AL
01
—
051513033
BLUE CROSS
AL
01
—
051525309
BLUE CROSS
AL
01
—
051539833
BLUE CROSS
AL
01
—
7996461
AETNA
AL
Enumeration date
06/17/2005
Last updated
12/30/2015
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