Individual
KELLEY CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7811 SMOKE RISE RD SE, HUNTSVILLE, AL 35802-3915
(256) 318-8306
Mailing address
7811 SMOKE RISE RD SE, HUNTSVILLE, AL 35802-3915
(256) 318-8306
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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