Individual
KELAYLA MICHELLE RANKIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 AVENUE J, BIRMINGHAM, AL 35218-1837
(205) 834-6380
Mailing address
1005 RUTLEDGE WAY, FAIRFIELD, AL 35064-1552
(205) 834-6380
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
PF4N6M7A5
AL
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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