Provider Demographics
NPI:1912305269
Name:HOOKS, KEELY K (CRNP)
Entity Type:Individual
Prefix:
First Name:KEELY
Middle Name:K
Last Name:HOOKS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5577 CHALKVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2171
Mailing Address - Country:US
Mailing Address - Phone:205-853-3533
Mailing Address - Fax:205-856-3808
Practice Address - Street 1:101 MISSIONARY RDG STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5203
Practice Address - Country:US
Practice Address - Phone:205-971-1700
Practice Address - Fax:205-971-1703
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-124806163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse