Provider Demographics
NPI:1215232343
Name:LAMBETH, KELLY CAY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:CAY
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30500 STATE HIGHWAY 181 STE 450
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5824
Mailing Address - Country:US
Mailing Address - Phone:251-626-6757
Mailing Address - Fax:251-626-6758
Practice Address - Street 1:30500 STATE HIGHWAY 181 STE 450
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-5824
Practice Address - Country:US
Practice Address - Phone:251-626-6757
Practice Address - Fax:251-626-6758
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1107689363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner