Individual
MRS. KONDA KEEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7001 CRESTWOOD BLVD/SUITE 804, BIRMINGHAM, AL 35210
(205) 518-6421
Mailing address
2016 SHADY LN, HUEYTOWN, AL 35023-2926
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-131508
AL
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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