MS. ANQUENETTA MICHELLE PENDLETON KHAN NPI 1174464499

NPI Information

  • NPI: 1174464499
  • Provider Name: MS. ANQUENETTA MICHELLE PENDLETON KHAN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 7278 CAHABA VALLEY RD APT 914B
    BIRMINGHAM, AL
    ZIP 35242
  • Phone: (205) 903-0041

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NPI Details

MS. Anquenetta Michelle Pendleton Khan is a primary care nurse practitioner in Birmingham, AL. MS. Anquenetta Michelle Pendleton Khan NPI is 1174464499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7278 CAHABA VALLEY RD APT 914B
BIRMINGHAM, AL
ZIP 35242-410
Phone: (205) 903-0041

The enumeration date for this NPI number is 4/2/2026 and was last updated on 4/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care1-118517ALABAMAYes
2363LG0600XNurse PractitionerGerontology1-118517ALABAMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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