NPI 1467931949 · live from the CMS NPI Registry
Kelly M Bonnett, CRNP
Nurse Practitioner, Pediatrics in Northport, AL. National Provider Identifier 1467931949, active.
NPI record
| NPI | 1467931949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2701 20th Avenue, Northport, AL 35476 |
| Practice phone | 205-333-5900 |
| Enumerated | August 7, 2018 |
| Last updated | March 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-138625 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.