Godby, Kelly

Godby, Kelly is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Godby, Kelly can be contacted via phone (205) 934-5038.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Phone: (205) 934-5038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27796 Alabama

Profile Details

NPI number 1396957387
LBN Legal business name Godby, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jun 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396957387 NPPES
Alabama MEDICAID 128351
Alabama MEDICAID 02371820
Alabama Other 051116036
Alabama MEDICAID 128350
Alabama Other 051116029
Alabama Other 051116033
Alabama MEDICAID 128128
Alabama MEDICAID 128494
Alabama Other 051116039

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