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1164701157
JONATHAN KELLEY
BIRMINGHAM, AL
NPI
1164701157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.1214)
Enumeration Date
2011-08-09
Last Update Date
2022-10-25
Business Address
JONATHAN KELLEY
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
JONATHAN KELLEY
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number:
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