Individual
KELLI NOELLE CHAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9790
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9790
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DO.2901
AL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
DO.2901
AL
Other
Enumeration date
06/12/2014
Last updated
01/09/2023
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