Individual
SHAUNDA ELYSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DMD
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-9999
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5395
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281210
—
MS
01
—
051118219
BCBS
AL
01
—
051118221
BCBS
AL
01
—
051118223
BCBS
AL
01
—
051118224
BCBS
AL
01
—
051118226
BCBS
AL
05
—
130492
—
AL
05
—
130494
—
AL
05
—
130495
—
AL
05
—
130496
—
AL
05
—
130497
—
AL
01
—
Z17060
VIVA
AL
Enumeration date
02/25/2008
Last updated
03/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us