KENNETH ELISHA CONN CRNP NPI 1336459437

NPI Information

NPI: 1336459437
Provider Name: KENNETH ELISHA CONN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
400 E 10TH ST
ANNISTON, AL
ZIP 36207
Phone: (256) 235-5211
Get Directions

Kenneth Elisha Conn, CRNP is a family nurse practitioner in Anniston, AL. Kenneth Elisha Conn, CRNP NPI is 1336459437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 E 10TH ST
ANNISTON, AL
ZIP 36207-716
Phone: (256) 235-5211

The NPI 1336459437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 11/20/2015.

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
1	363LF0000X	Nurse Practitioner	Family	1-105093	ALABAMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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