Individual
KELLIE COPLIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 LOWELL DR SE STE 5, HUNTSVILLE, AL 35801
(256) 265-1775
(256) 265-1780
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-1775
(256) 265-1780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-083086
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199998
—
AL
Enumeration date
06/26/2009
Last updated
11/20/2018
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