Kelsey Douglas

NPI #1508261678 in Wetumpka, Alabama

Provider Information

NPI Number: 1508261678
Entity Type: Individual
Name: Kelsey Douglas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 30, 2014
Last Updated: Oct 30, 2014

Practice Location

Address: 491 SOUTHERN HILLS DR
City: Wetumpka
State: Alabama
ZIP Code: 36093-2989
Phone: (334) 391-2730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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