Individual
MRS. KIMBERLY DIONNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
700 19TH ST S # 111-I, BIRMINGHAM, AL 35233-1927
(205) 558-4756
(205) 975-7487
Mailing address
700 19TH ST S # 111-I, BIRMINGHAM, AL 35233-1927
(205) 558-4756
(205) 975-7487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-073531
AL
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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