Provider Demographics
NPI:1457647935
Name:KELMENSON, LINDSAY B (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:B
Last Name:KELMENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5356 STADIUM TRACE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-5610
Mailing Address - Country:US
Mailing Address - Phone:205-444-4858
Mailing Address - Fax:205-444-4856
Practice Address - Street 1:5356 STADIUM TRACE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-5610
Practice Address - Country:US
Practice Address - Phone:205-444-4858
Practice Address - Fax:205-444-4856
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL36800207RR0500X, 207RR0500X
CODR.0054055207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program