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Laura Kettle Penkava, CRNP
Primary Care Nurse Practitioner in Birmingham, Alabama
NPI 1962745315

Laura Kettle Penkava is a Primary Care Nurse Practitioner based in Birmingham, AL and is specialized in Primary Care. Laura Kettle Penkava practices in Birmingham, AL and has the professional credentials of CRNP. The NPI Number for Laura Kettle Penkava is 1962745315 and holds a License No. 1-126161 (Alabama).

The current practice location address for Laura Kettle Penkava is 7191 Cahaba Valley Rd, Birmingham, AL and can be reached out via phone at 205-995-9909 and via fax at 205-930-2063.

Location: 7191 Cahaba Valley Rd, Birmingham, AL, 35209
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Provider Profile Details
NPI Number
1962745315
Provider Name
Laura Kettle Penkava
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
7191 Cahaba Valley Rd, Birmingham, AL, 35209
Phone Number
205-995-9909
Fax Number
205-930-2063
Provider Enumeration Date
04/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-126161 01 AL CRNP
institution
Provider Business Practice Location Address Details
Address
7191 Cahaba Valley Rd
City
State
Zip
35242-6402
Phone Number
205-995-9909
Fax Number
205-930-2063
person
Provider Business Mailing Address Details
Address
7191 Cahaba Valley Rd
City
State
Zip
35242-6402
Phone Number
205-995-9909
Fax Number
205-930-2063
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
1-126161 (Alabama)
Definition
Definition to come...
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