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Individual

DR. KELLI LYNN MCALLISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
7483 S COUNTY ROAD 49, SLOCOMB, AL 36375-6178
(334) 701-5355
(334) 269-7286
Mailing address
7483 S COUNTY ROAD 49, SLOCOMB, AL 36375-6178
(334) 701-5355
(334) 701-5355

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-074149
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-0974149
STATE LICENSE
AL
01
10805
STATE LICENSE
MN
01
11025935
STATE LICENSE
FL
01
167880
STATE LICENSE
GA
01
220108
STATE LICENSE
MT
01
515-41191
BLUE CROSS BLUE SHIELD
AL
05
631807046
AL
Enumeration date
06/27/2005
Last updated
02/27/2025
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