Individual
KENYATTA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(205) 965-5058
Mailing address
127 AMSTERDAM PL, MADISON, AL 35758-6867
(205) 965-5058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-093544
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-093544
AL
Other
Enumeration date
07/31/2023
Last updated
07/02/2024
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