Individual
MEGAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 WICKFORD RD, VESTAVIA HILLS, AL 35216-2320
(205) 516-6432
Mailing address
1205 WICKFORD RD, VESTAVIA HILLS, AL 35216-2320
(205) 516-6432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-147368
AL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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