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 |
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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 |
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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 |
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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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