Individual
KENNETH W ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 758-6750
Mailing address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 759-7744
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
00010811
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051593010
BCBS OF ALABAMA
AL
05
—
103894
—
AL
01
—
510I340011
MEDICARE
AL
Enumeration date
11/17/2006
Last updated
12/20/2010
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