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Kena Xtavier Lane
Student in an Organized Health Care Education/Training Program in Saraland, Alabama
NPI 1063042570

Kena Xtavier Lane is a Student in an Organized Health Care Education/Training Program based in Saraland, AL. Kena Xtavier Lane practices in Saraland, AL. The NPI Number for Kena Xtavier Lane is 1063042570 and holds a License No. S12738 (Alabama).

The current practice location address for Kena Xtavier Lane is 3651 Celeste Oaks Dr, Saraland, AL and can be reached out via phone at 251-442-4225.

Location: 3651 Celeste Oaks Dr, Saraland, AL, 36571-8819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063042570
Provider Name
Kena Xtavier Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
3651 Celeste Oaks Dr, Saraland, AL, 36571-8819
Phone Number
251-442-4225
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3651 Celeste Oaks Dr
City
Saraland
State
Alabama
Zip
36571-8819
Phone Number
251-442-4225
Fax Number
person
Provider Business Mailing Address Details
Address
3651 Celeste Oaks Dr
City
Saraland
State
Alabama
Zip
36571-8819
Phone Number
251-442-4225
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12738 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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