NPI 1750852893

Bobbie Kelly

Practitioner Contractor Phenix City, AL

Practice location

Address: 3300 Stadium Dr APT 815, Phenix City, AL 36867-8005
Phone: (334) 540-9589

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1750852893
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.