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Individual

KELLY A CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, PMHNP-BC

Contact information

Practice address
1615 KATHY LN SW STE 102, DECATUR, AL 35603-1026
(256) 701-5651
(256) 429-9411
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-164567
AL

Other

Enumeration date
02/10/2025
Last updated
12/16/2025
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