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1013774652
KELLY BUTLER
SELMA, AL
NPI
1013774652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-074145)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
KELLY BUTLER
1475 AL HIGHWAY 14 E
SELMA, AL 36703-2996
Phone number: 334-526-3240
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Mailing Address
KELLY BUTLER
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number: 205-545-5088
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