Organization · Type 2 NPI

Kelly Fountain, M.s., L.p.t., L.l.c.

Counselor · Mobile, AL

NPI number 1154714384 Active

About NPI 1154714384

Kelly Fountain, M.s., L.p.t., L.l.c.'s National Provider Identifier is 1154714384, issued on Mar 12, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mobile, AL. The record was last updated on Mar 12, 2015.