Individual
KELLY MICHELLE ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(800) 822-8816
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/26/2023
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