Kinnebrew, Peter

Kinnebrew, Peter is an individual health care provider with primary practice located at 13596 Hwy 231 431 N Suite 2, Hazel Green AL 35750-8642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kinnebrew, Peter can be contacted via phone (256) 828-2094.

Contact Information

Primary practice address
13596 Hwy 231 431 N Suite 2 Hazel Green AL 35750-8642
Phone: (256) 828-2094
Fax: (256) 828-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 22185 Alabama

Profile Details

NPI number 1861470445
LBN Legal business name Kinnebrew, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861470445 NPPES
Alabama MEDICAID 009981810
Alabama Other 51045542

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