Individual
KELLY MILES PETROVICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1001 BROCKS GAP PKWY STE 101, HOOVER, AL 35244-4028
(205) 421-1032
(205) 421-1040
Mailing address
985 9TH AVE SW, BESSEMER, AL 35022-4500
(205) 481-7312
(205) 481-7593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-158612
AL
Other
Enumeration date
08/26/2020
Last updated
05/04/2021
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