Individual
MR. KENDELL MCRONALD JNO-FINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5260
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51104142
BLUE CROSS BLUE SH TRUSSVILLE LOCATION
AL
01
—
51547267
BLUE CROSS BLUE SHIELD
AL
01
—
DB3969
RAILROAD MEDICARE
AL
Enumeration date
03/10/2008
Last updated
11/08/2023
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