MEDICARE: REBECCA HEDRICK KEARNEY PHYSICIAN ASSISTANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1226	AL

General Provider Information

NPI Number	:	1730620360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA HEDRICK KEARNEY PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	3485 INDEPENDENCE DR
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-5603
Country	:	US
Telephone Number	:	205-930-0920
Fax Number	:	205-445-0115

Provider Business Practice Location Address
First Line	:	3686 GRANDVIEW PKWY STE 540
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-3405
Country	:	US
Telephone Number	:	205-930-0920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	06/20/2023

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