Individual
JILLIAN M KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 CCI DR NW, HUNTSVILLE, AL 35805-2606
(256) 705-4224
(256) 705-4135
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002675
CT
363A00000X
Physician Assistant
Primary
PA939
AL
Other
Enumeration date
11/23/2011
Last updated
03/10/2016
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