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Individual

MR. KEN P GABLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
2200 RIVERCHASE CTR, BIRMINGHAM, AL 35244-2866
(205) 739-7800
Mailing address
1630 KRISTI CIR, BIRMINGHAM, AL 35243-5832
(205) 298-9403

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH2383
PHYSICAL THERAPY LICENSE
AL
Enumeration date
12/09/2006
Last updated
07/08/2007
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Product
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  • Eligibility checks
  • EDI platform