Individual
KELSEY SUNDERLAND IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801
(256) 551-4543
(256) 551-4542
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 536-5511
(256) 551-4699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.35853
AL
207RI0200X
Infectious Disease Physician
MD.35853
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP36022
PROASSURANCE
AL
Enumeration date
05/23/2012
Last updated
06/13/2024
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