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KELLY DEVOTA EDWARDS
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1700259595
Individual Registrant: KELLY DEVOTA EDWARDS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
100 NORTH WASHINGTON ST STATION 14 LIVINGSTON, AL 35470 US
Tel: 205-652-3452 Fax: --
Tel: 205-652-3452 Fax: --
Contact information for business:
144 COUNTY ROAD 3452 HALEYVILLE, AL 35565-7257 US
Tel: 205-269-8654 Fax: --
Tel: 205-269-8654 Fax: --
Registration Information:
NPI: 1700259595
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
