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Kennedy Chizik

Physician Assistant in Hoover, AL. Individual provider (NPI-1).

NPI number1760201610
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1760201610
Entity type
Individual (NPI-1)
Name
Kennedy Chizik
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2024
Certification date
Apr 15, 2025
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant2547ALYes

Practice location

5356 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-5610

Phone 205-444-4858

Mailing address

5356 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-5610

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