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Andrew Revels

NPI 1497385900 · on the registry since 2020 · sole proprietor

Practice

Address
16156 W State Highway 52
Kinston, AL 36453
Phone
(334) 360-1730

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-23
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama