Individual
KENDRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 FRANKLIN ST SE STE A, HUNTSVILLE, AL 35801-4310
(256) 533-7676
Mailing address
124 AMBERWOOD DR, HARVEST, AL 35749-9227
(256) 483-0433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08190461
AL
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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