Individual
KENNETH ELISHA CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
400 E 10TH ST, ANNISTON, AL 36207-4716
(256) 235-5211
Mailing address
13365 AL HIGHWAY 9, PIEDMONT, AL 36272-7723
(256) 435-5394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105093
AL
Other
Enumeration date
10/07/2010
Last updated
11/20/2015
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