Individual
TERRY V KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
758 MAIN ST, GARDENDALE, AL 35071-2696
(205) 631-5521
(205) 631-5540
Mailing address
758 MAIN ST, GARDENDALE, AL 35071-2696
(205) 631-5521
(205) 631-5540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12977
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942565
—
AL
Enumeration date
08/16/2006
Last updated
05/27/2010
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