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1083378509
KELLY LYNN SPARKS
HUNTSVILLE, AL
NPI
1083378509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-150754)
Enumeration Date
2021-10-30
Last Update Date
2021-10-30
Business Address
KELLY LYNN SPARKS CRNP
4801 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805-3308
Phone number: 256-428-7488
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Mailing Address
KELLY LYNN SPARKS CRNP
305 IVYLEAF DR NW
MADISON, AL 35757-5909
Phone number: 256-417-7780
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