Individual
MRS. DIANA L KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
875 FRIENDSHIP RD, TALLASSEE, AL 36078-1234
(334) 283-3111
Mailing address
875 FRIENDSHIP RD, TALLASSEE, AL 36078-1234
(334) 283-3111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113115
AL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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