Individual
MR. CHRISTOPHER W. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C APRN, MSN, MSM
Contact information
Practice address
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44039
WY
Other
Enumeration date
11/19/2012
Last updated
07/30/2025
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