Individual
DR. KENNETH EUGENE CHANDLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 7TH ST SE, DECATUR, AL 35601-3341
(256) 355-6414
(256) 355-6646
Mailing address
PO BOX 1029, DECATUR, AL 35602-1029
(256) 355-6414
(256) 355-6646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00007324
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710290
UNITED HEALTH
AL
Enumeration date
04/27/2006
Last updated
07/08/2007
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