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Organization
RICHARD T KENNEDY MD LLC
Active
Organization
RICHARD T KENNEDY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T KENNEDY M.D. (OWNER)
(334) 793-6556
Entity
Organization
Contact information
Practice address
2115 W MAIN ST, DOTHAN, AL 36301-1289
(334) 793-6556
(334) 793-2583
Mailing address
2115 W MAIN ST, DOTHAN, AL 36301-1289
(334) 793-6556
(334) 793-2583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8459
AL
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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