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Individual

KELLY SANDERS HAVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4251 BLACKWELL NURSERY RD W APT B, SEMMES, AL 36575-5001
(251) 422-2528
Mailing address
4251 BLACKWELL NURSERY RD W APT B, SEMMES, AL 36575-5001

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1-138162
AL

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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