Individual
KELLY DEVOTA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NORTH WASHINGTON ST STATION 14, LIVINGSTON, AL 35470
(205) 652-3452
Mailing address
144 COUNTY ROAD 3452, HALEYVILLE, AL 35565-7257
(205) 269-8654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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