Bobbie Kelly

NPI #1750852893 in Phenix City, Alabama

Provider Information

NPI Number: 1750852893
Entity Type: Individual
Name: Bobbie Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 3300 STADIUM DR APT 815
City: Phenix City
State: Alabama
ZIP Code: 36867-8005
Phone: (334) 540-9589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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