KELSIE MAKENNA LANG RICKEY

VESTAVIA, AL
NPI1912405820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AL  1-146246)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: CO  C-APN.0103575-C-NP)
363LF0000X Nurse Practitioner Family
(Licence: WV  122070)
Enumeration Date2018-01-25
Last Update Date2025-07-10
Business Address
KELSIE MAKENNA LANG RICKEY
2409 ACTON RD STE 153
VESTAVIA, AL 35243-2939
Phone number: 205-379-0174
Mailing Address
KELSIE MAKENNA LANG RICKEY
5529 12TH AVE S
BIRMINGHAM, AL 35222-4140
Phone number: 256-606-8453