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Individual

MR. KENDELL MCRONALD JNO-FINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
8331 GADSDEN HWY, TRUSSVILLE, AL 35173-2219
(205) 508-3811
(833) 207-6389
Mailing address
8331 GADSDEN HWY, TRUSSVILLE, AL 35173-2219
(205) 508-3811
(833) 207-6389

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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