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NPI Code Detail

MEDICARE: WILL O'KELLEY

MEDICARE: WILL O'KELLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1-194196AL

General Provider Information

NPI Number : 1366309627
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILL O'KELLEY
Provider Business Mailing Address
First Line : 15847 COUNTY ROAD 9
Second Line :
City : FITZPATRICK
State : AL
Zip : 36029-2613
Country : US
Telephone Number : 404-825-7840
Fax Number :
Provider Business Practice Location Address
First Line : 2105 E SOUTH BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36116-2409
Country : US
Telephone Number : 334-747-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ WILL O'KELLEY ” Practice Location

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