Individual
MRS. KENYATTA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 HYUNDAI BLVD, MONTGOMERY, AL 36105-9622
(334) 387-8242
(334) 387-8247
Mailing address
7367 HEATHERMOORE LOOP, MONTGOMERY, AL 36117-7494
(334) 657-0218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120644
AL
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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