| Richard T Kennedy Md Llc | |
|
2115 W Main St Dothan AL 36301-1289 | |
| (334) 793-6556 | |
| (334) 793-2583 |
| Full Name | Richard T Kennedy Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2115 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Richard T Kennedy (OWNER) |
| Authorized Official Contact | 3347936556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard T Kennedy Md Llc 2115 W Main St Dothan AL 36301-1289 Ph: (334) 793-6556 | Richard T Kennedy Md Llc 2115 W Main St Dothan AL 36301-1289 Ph: (334) 793-6556 |
| NPI Number | 1790059939 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790059939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8459 (Alabama) | Primary |
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