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1962745315
LAURA KETTLE PENKAVA
BIRMINGHAM, AL
NPI
1962745315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AL 1-126161)
Enumeration Date
2013-04-04
Last Update Date
2015-08-25
Business Address
-- LAURA KETTLE PENKAVA CRNP
7191 CAHABA VALLEY RD SUITE 300
BIRMINGHAM, AL 35242-6402
Phone number: 205-995-9909
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Mailing Address
-- LAURA KETTLE PENKAVA CRNP
323 GRAN AVE
BIRMINGHAM, AL 35209
Phone number: 256-694-4288
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