Individual
MS. ANQUENETTA MICHELLE PENDLETON KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7278 CAHABA VALLEY RD APT 914B, BIRMINGHAM, AL 35242-8410
(205) 903-0041
Mailing address
7278 CAHABA VALLEY RD APT 914B, BIRMINGHAM, AL 35242-8410
(205) 903-0041
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1-118517
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-118517
AL
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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