Individual
ELIZABETH ANNE SMITH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2214 GATEWAY DR, #C, OPELIKA, AL 36801-1500
(334) 741-0075
Mailing address
2214 GATEWAY DR, #C, OPELIKA, AL 36801-1500
(334) 741-0075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-131673
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185931
—
AL
Enumeration date
07/22/2015
Last updated
08/02/2016
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