Individual provider · Type 1 NPI

Kelly Devota Edwards

Student in an Organized Health Care Education/Training Program · Livingston, AL

NPI number 1700259595 Active

Practice location

100 North Washington St Station 14
Livingston, AL 35470

Mailing address

144 County Road 3452
Haleyville, AL 35565-7257

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700259595

Kelly Devota Edwards's National Provider Identifier is 1700259595, issued on Nov 3, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livingston, AL. The record was last updated on Nov 3, 2015.