Individual
MAMIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 809-3208
(251) 867-5999
Mailing address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 809-3208
(251) 867-5999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-116711
AL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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