Individual
DR. KELLY GILREATH ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-2375
Mailing address
2153 ASHLAND PLACE AVE, MOBILE, AL 36607-3203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.38893
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
06/21/2021
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