Individual
KENNETH CHARLES PAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2615 MCFARLAND BLVD E, TUSCALOOSA, AL 35405-1803
(205) 556-4180
Mailing address
2100 DEVEREUX CIR STE 100, VESTAVIA, AL 35243-2558
(205) 879-2221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S639TA070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58471
BCBS FEDERAL
AL
Enumeration date
10/06/2006
Last updated
01/18/2023
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