Individual
KENNEDY CHIZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5356 STADIUM TRACE PKWY STE 200, HOOVER, AL 35244-5610
(205) 444-4858
Mailing address
5356 STADIUM TRACE PKWY STE 200, HOOVER, AL 35244-5610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2547
AL
Other
Enumeration date
10/08/2024
Last updated
04/15/2025
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