NPI 1174562813

Kendall Ryan Puckett, MD

Practitioner Family Medicine Physician Columbiana, AL

Practice location

Address: 22266 Highway 25, Columbiana, AL 35051-8618
Phone: (205) 669-3138
Fax: (205) 669-8718

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20170 (AL)

Other Family Medicine providers in Alabama →

Registry record

NPI: 1174562813
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.