Individual
KELLY FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
450 LANIER RD, MADISON, AL 35758-1866
(256) 774-4500
(256) 774-4573
Mailing address
2868 ACTON RD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1479
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525420
BCBS
AL
Enumeration date
05/24/2006
Last updated
07/08/2007
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