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Individual

KATHRYN HALE KENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
967 PAULK ROAD, RAMER, AL 36069-6362
(334) 562-3399
Mailing address
967 PAULK ROAD, RAMER, AL 36069-6362
(334) 562-3399

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-030956
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933874
AL
Enumeration date
05/04/2006
Last updated
06/29/2011
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