Individual
VICTORIA KING KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11448 ALABASTER DR, DAPHNE, AL 36526-3408
(251) 229-2233
(251) 257-5043
Mailing address
11448 ALABASTER DR, DAPHNE, AL 36526-3408
(251) 229-2233
(251) 257-5043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-129596
AL
207Q00000X
Family Medicine Physician
APRN11014337
FL
363LF0000X
Family Nurse Practitioner
Primary
1-129596
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MK6232730
DEA
FL
Enumeration date
12/12/2017
Last updated
01/03/2024
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