Whalio Doctors

NPI 1861470445

Peter Kinnebrew, MD

Practitioner Pediatric Adolescent Medicine Physician Hazel Green, AL

Practice location

Address
13596 Hwy 231 431 N Suite 2, Hazel Green, AL 35750-8642
Phone
(256) 828-2094
Fax
(256) 828-0526
Mailing address
13596 Hwy 231 431 N Suite 2, Hazel Green, AL 35750-8617

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 22185 (AL)

Registry record

NPI
1861470445
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jan 2006
Record last updated
3 Sep 2010

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.