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1912405820
KELSIE MAKENNA LANG RICKEY
VESTAVIA, AL
NPI
1912405820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-146246)
Enumeration Date
2018-01-25
Last Update Date
2023-11-28
Business Address
KELSIE MAKENNA LANG RICKEY
2409 ACTON RD STE 153
VESTAVIA, AL 35243-2939
Phone number: 205-379-0174
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Mailing Address
KELSIE MAKENNA LANG RICKEY
5529 12TH AVE S
BIRMINGHAM, AL 35222-4140
Phone number: 256-606-8453
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