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Andrew Revels
Student in an Organized Health Care Education/Training Program in Kinston, Alabama
NPI 1497385900

Andrew Revels is a Student in an Organized Health Care Education/Training Program based in Kinston, AL. Andrew Revels practices in Kinston, AL. The NPI Number for Andrew Revels is 1497385900 and holds a License No. S12674 (Alabama).

The current practice location address for Andrew Revels is 16156 W State Highway 52, Kinston, AL and can be reached out via phone at 334-360-1730.

Location: 16156 W State Highway 52, Kinston, AL, 36453-7044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497385900
Provider Name
Andrew Revels
Credential
Provider Entity Type
Individual
Gender
Male
Address
16156 W State Highway 52, Kinston, AL, 36453-7044
Phone Number
334-360-1730
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16156 W State Highway 52
City
Kinston
State
Alabama
Zip
36453-7044
Phone Number
334-360-1730
Fax Number
person
Provider Business Mailing Address Details
Address
16156 W State Highway 52
City
Kinston
State
Alabama
Zip
36453-7044
Phone Number
334-360-1730
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.
S12674 (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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