Individual
KELLI BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 EXCHANGE PL NW, HUNTSVILLE, AL 35806-2300
(256) 716-1000
Mailing address
3106 STONE PATH LN SE, HAMPTON COVE, AL 35763-7016
(712) 355-8274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-120894
AL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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