Borella, Kelley
Borella, Kelley is an individual health care provider with primary practice located at 3000 Meadow Lake Dr Suite 101, Birmingham AL 35242-0301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Borella, Kelley can be contacted via phone (205) 995-1009.Contact Information
Primary practice address
3000 Meadow Lake Dr Suite 101
Birmingham AL 35242-0301
Phone: (205) 995-1009
Fax: (205) 995-1049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 1-098614 | Alabama |
Profile Details
| NPI number | 1922038751 |
|---|---|
| LBN Legal business name | Borella, Kelley |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jun 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922038751 | NPPES |
| Alabama | MEDICAID | 194186 |
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