Kelli Thomas Cobb, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Harvest, AL
NPI 1598038598 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1598038598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 1085624 (AL)
- Practice address
- 119 Trailing Vine
Harvest, AL 35749 - Phone
- (256) 603-1133
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1085624 | AL | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1085624 | AL | Yes |
Addresses
Primary practice location
119 Trailing Vine
Harvest, AL 35749
Mailing address
3304 Westmill Dr SW
Huntsville, AL 35805-6119
Phone (256) 603-1133
Other names
- Keli Michelle Thomas
Other providers in Harvest, AL
- Gina Renia Borden
- Melissa Boylen
- Christina Danielle Canales
- Capshaw Family Care
- Patrice Carter
- Gary D Copeland
- Patricia Ann Corbitt
- Covenant Family Care
- Holly Crabtree
- Cytique T Davis
All providers in Harvest, AL · Adult Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.