Individual
KELVONNA REIGHANN STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Mailing address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-074938
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9531569
—
AL
Enumeration date
11/25/2022
Last updated
11/25/2022
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