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Contact Information

PETER KINNEBREW, MD
13596 HWY 231 431 N
SUITE 2
HAZEL GREEN, AL35750-8642
 Phone: 256-828-2094
 Fax: 256-828-0526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PETER KINNEBREW · (Male)

NPI Number 1861470445
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 09/03/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 22185
  • AL Medicaid 009981810
  • AL Other 51045542 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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