Provider Demographics
NPI:1033969951
Name:KINDALL, BRITTNEY (PA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:KINDALL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 MEADOW LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-8125
Mailing Address - Country:US
Mailing Address - Phone:205-902-7195
Mailing Address - Fax:
Practice Address - Street 1:7001 CRESTWOOD BLVD STE 822
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2344
Practice Address - Country:US
Practice Address - Phone:205-421-9615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine