Individual
MR. KENNY L. DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 279-1450
(334) 395-4110
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-058248
AL
Other
Enumeration date
06/28/2006
Last updated
06/17/2010
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