Provider Demographics
NPI:1194995753
Name:JNO-FINN, KENDELL MCRONALD (DPT)
Entity type:Individual
Prefix:MR
First Name:KENDELL
Middle Name:MCRONALD
Last Name:JNO-FINN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 GADSDEN HWY
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2219
Mailing Address - Country:US
Mailing Address - Phone:205-508-3811
Mailing Address - Fax:833-207-6389
Practice Address - Street 1:8331 GADSDEN HWY
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2219
Practice Address - Country:US
Practice Address - Phone:205-508-3811
Practice Address - Fax:833-207-6389
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51547267OtherBLUE CROSS BLUE SHIELD
ALDB3969OtherRAILROAD MEDICARE
AL51104142OtherBLUE CROSS BLUE SH TRUSSVILLE LOCATION
AL510I650103Medicare PIN
AL51104142OtherBLUE CROSS BLUE SH TRUSSVILLE LOCATION