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1477792315
LACY S. KELLY
TUSCALOOSA, AL
NPI
1477792315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-102873)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- LACY S. KELLY CRNA
1400 MCFARLAND BLVD N
TUSCALOOSA, AL 35406-2209
Phone number: 205-345-5500
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Mailing Address
-- LACY S. KELLY CRNA
11337 KENSINGTON LN
NORTHPORT, AL 35475-3498
Phone number: 205-317-7999
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