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Individual

BRENDA KIRKENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2310 WHITESBURG DR S, #2, HUNTSVILLE, AL 35801-3845
(256) 536-8561
(256) 536-8563
Mailing address
PO BOX 5306, HUNTSVILLE, AL 35814-5306
(256) 536-8561
(256) 536-8563

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4441
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51519698
BCBS OF ALABAMA ID NUMBER
AL
Enumeration date
12/14/2006
Last updated
04/07/2008
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