Individual provider · Type 1 NPI

Laura Kettle Penkava, CRNP

Primary Care Nurse Practitioner · Birmingham, AL

NPI number 1962745315 Active

Practice location

7191 Cahaba Valley Rd, Suite 300
Birmingham, AL 35242-6402

Call (205) 995-9909 Map

Fax (205) 930-2063

Mailing address

323 Gran Ave
Birmingham, AL 35209

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X1-126161 (AL)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1962745315

Laura Kettle Penkava, CRNP's National Provider Identifier is 1962745315, issued on Apr 4, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Birmingham, AL. The record was last updated on Aug 25, 2015.