Individual
MRS. KELLY M BONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2701 20TH AVENUE, NORTHPORT, AL 35476-3832
(205) 333-5900
Mailing address
2701 20TH AVENUE, NORTHPORT, AL 35476-3832
(205) 333-5900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-138625
AL
Other
Enumeration date
08/07/2018
Last updated
03/15/2023
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