Organization
STEPHEN JOSEPH KELLY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH KELLY M.D (OWNER)
(205) 933-2250
Entity
Organization
Contact information
Practice address
1830 14TH AVE S, BIRMINGHAM, AL 35205-4969
(205) 933-2250
(205) 933-2221
Mailing address
1830 14TH AVE S, BIRMINGHAM, AL 35205-4969
(205) 933-2250
(205) 933-2221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51011550
BLUE CROSS
AL
01
—
510G700254
MEDICARE
AL
Enumeration date
05/06/2008
Last updated
03/04/2009
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