Individual
KENNETH KWIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1312 34TH ST S APT F, BIRMINGHAM, AL 35205-2253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-150640
AL
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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