Kena Xtavier Lane

NPI #1063042570 in Saraland, Alabama

Provider Information

NPI Number: 1063042570
Entity Type: Individual
Name: Kena Xtavier Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 3651 CELESTE OAKS DR
City: Saraland
State: Alabama
ZIP Code: 36571-8819
Phone: (251) 442-4225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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