Individual
KELSIE MAKENNA LANG RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 ACTON RD STE 153, VESTAVIA, AL 35243-2939
(205) 379-0174
(888) 219-8102
Mailing address
5529 12TH AVE S, BIRMINGHAM, AL 35222-4140
(256) 606-8453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-146246
AL
363LF0000X
Family Nurse Practitioner
122070
WV
363LF0000X
Family Nurse Practitioner
C-APN.0103575-C-NP
CO
Other
Enumeration date
01/25/2018
Last updated
07/10/2025
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