Individual
KENNETH DEAN MCLEOD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1511 N MCKENZIE ST, FOLEY, AL 36535-2235
(251) 943-1584
(251) 943-7442
Mailing address
1511 N MCKENZIE ST, FOLEY, AL 36535-2235
(251) 943-1584
(251) 943-7442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO24
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004250
—
AL
01
—
0110393
MEDICARE COMPLETE
—
01
—
406231011
RAILROAD MEDICARE
—
01
—
4314829
AETNA
—
01
—
51004250
BCBS
AL
01
—
69634
FIRST HEALTH
—
Enumeration date
10/16/2006
Last updated
12/15/2009
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