| Kim P. Kornegay, Dmd | |
|
711 Kornegay Dr Suite A Prattville AL 36066-7715 | |
| (334) 285-7111 | |
| (334) 285-3310 |
| Full Name | Kim P. Kornegay, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 711 Kornegay Dr, Prattville, Alabama |
| Authorized Official Name and Position | Kim Pierson Kornegay (OWNER) |
| Authorized Official Contact | 3342857111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim P. Kornegay, Dmd 711 Kornegay Dr Suite A Prattville AL 36066-7715 Ph: (334) 285-7111 | Kim P. Kornegay, Dmd 711 Kornegay Dr Suite A Prattville AL 36066-7715 Ph: (334) 285-7111 |
| NPI Number | 1548433329 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548433329 | NPI | - | NPPES |
| 776896 | Other | AL | UNITED CONCORIA |
| 90076 | Other | AL | BLUECROSSBLUESHIELD OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CS3863 (Alabama) | Primary |
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