Individual
LACY S. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2209
(205) 345-5500
Mailing address
11337 KENSINGTON LN, NORTHPORT, AL 35475-3498
(205) 317-7999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-102873
AL
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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