Mrs. Konda Keebler
Nurse Practitioner - Primary Care
7001 Crestwood Blvd/suite 804
Birmingham
, Alabama 35210
Mrs. Konda Keebler
Nurse Practitioner - Primary Care
7001 Crestwood Blvd/suite 804
Birmingham
, Alabama 35210
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Konda Keebler
- 2016 Shady Ln
- Hueytown, AL
- Zip : 35023-2926
- Phone :
Second Address
- Mrs. Konda Keebler
- 7001 Crestwood Blvd/suite 804
- Birmingham, AL
- Zip : 35210
- Phone : (205) 518-6421
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Is Mrs. Konda Keebler a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 1-131508 | AL |
National Provider Identifier
| NPI | 1053802009 |
|---|---|
| Provider Name | Mrs. Konda Keebler |
| First Address | Hueytown, AL 35023-2926 |
| Second Address | Birmingham, AL 35210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2018 |
| Last Update Date | 25/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.