Individual
CARRIE HANNA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
89 BATTLES RD, DOTHAN, AL 36301-8966
(334) 350-2878
Mailing address
89 BATTLES RD, DOTHAN, AL 36301-8966
(334) 350-2878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-151826
AL
163W00000X
Registered Nurse
Primary
RN 9362541
FL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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