Individual
MALLORY MORRIS KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1102 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6404
(256) 881-5880
Mailing address
1102 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6404
(256) 684-0545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-181178
AL
363LA2200X
Adult Health Nurse Practitioner
1-181178
AL
363LF0000X
Family Nurse Practitioner
Primary
1-181178
AL
363LP2300X
Primary Care Nurse Practitioner
1-181178
AL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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