Individual
MS. KENDALL MARIE CARLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0002
(205) 726-2401
Mailing address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0002
(205) 726-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-152636
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-152636
AL
Other
Enumeration date
08/13/2021
Last updated
10/31/2024
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