Individual
MRS. KELLY M HANSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1965 AL HIGHWAY 157, SUITE B, CULLMAN, AL 35058-0672
(256) 775-2722
Mailing address
1305 TERREHAUTE AVE SW, DECATUR, AL 35601-3737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097277
AL
Other
Enumeration date
04/15/2008
Last updated
04/26/2013
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