Christopher  L  Kelly    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000883
NPI
1356314991
Tax ID
630753391
Effective Date
3/1/1999
Last Updated
3/26/2014
Direct Contract
Yes
Term Date
12/31/2002
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1830 14th Avenue South
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059332250 (Phone)
Billing Details
Address
1830 14th Avenue South
Birmingham, AL 35205
Billing Phone
2059332250
Specialty Type
Ophthalmology
Map
Address