NPI 1306023528 · live from the CMS NPI Registry
Keely Erin Berry, CRNP
Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1306023528, active.
NPI record
| NPI | 1306023528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1600 7th Ave S, Birmingham, AL 35233 |
| Practice phone | 205-939-9175 |
| Mailing address | 1620 Oak Park Ln, Helena, AL 35080 |
| Enumerated | January 30, 2008 |
| Last updated | January 30, 2008 |
| Sole proprietor | No |
| Other names | Keely Eagan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1089150 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.