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ZANE PENTON KELLY CRNP

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043787526

Individual Registrant:
 ZANE PENTON KELLY CRNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
115 HERREN HILL RD  TALLASSEE, AL 36078-1276 US
Tel: 334-283-3477  Fax: 334-283-4162

Contact information for business:
115 HERREN HILL RD  TALLASSEE, AL 36078-1276 US
Tel: 334-283-3477  Fax: 334-283-4162

Registration Information:
NPI: 1043787526
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL1-134397

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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