Individual
KELLY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 460-5461
(251) 340-6954
Mailing address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 460-5461
(251) 340-6954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-140529
AL
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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