Individual
DR. KEVIN FRANK KINGRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5412 MONTGOMERY HWY, SUITE 8, DOTHAN, AL 36303-1657
(334) 983-1730
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5183
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910048
—
AL
05
—
148208632A
—
GA
Enumeration date
10/05/2006
Last updated
06/25/2013
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