Individual
MITCHELL RYAN KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
12201 WARES FERRY ROAD, MONTGOMERY, AL 36117
(334) 215-6600
Mailing address
12201 WARES FERRY ROAD, MONTGOMERY, AL 36117
(334) 215-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-166159
AL
Other
Enumeration date
07/13/2022
Last updated
08/08/2022
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