Individual
COURTNEY KENNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 PRAIRIE ST N, UNION SPRINGS, AL 36089-1617
(334) 247-7727
Mailing address
234 PRAIRIE ST N, UNION SPRINGS, AL 36089-1617
(334) 247-7727
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1625
AL
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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