Individual
DR. KESHIA S. ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2011023817
MO
152W00000X
Optometrist
Primary
T193TA757
AL
152WC0802X
Corneal and Contact Management Optometrist
1188
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649234295
—
MO
01
—
51543068
BCBS OF ALABAMA
AL
05
—
9912034
—
AL
05
—
D11887
—
SC
Enumeration date
04/12/2006
Last updated
10/03/2016
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