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Individual

KENDALL WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
513 BROOKWOOD BLVD STE 372, BIRMINGHAM, AL 35209-7807
(205) 306-0422
Mailing address
2248 LARKSPUR DR, HOOVER, AL 35226-1816
(615) 406-7612

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
140970
TN

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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