IndividualActive
Anquenetta Pendleton Khan
NPI 1174464499 · Primary Care Nurse Practitioner · Birmingham, AL
Provider details
- NPI number
- 1174464499
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-118517 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7278 Cahaba Valley Rd Apt 914b
Birmingham, AL 35242-8410
Phone: (205) 903-0041
Approximate (ZIP-level) locationGet directions
Mailing address
7278 Cahaba Valley Rd Apt 914b
Birmingham, AL 35242-8410
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.