Individual
KRISTINE LYN PENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 MCCURDY AVE S # 6, RAINSVILLE, AL 35986-5254
(256) 638-9161
Mailing address
PO BOX 1201, RAINSVILLE, AL 35986-1201
(760) 401-3556
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-173740
AL
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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