Individual
DR. KENNETH CHARLES FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 W MAIN ST, ANESTHESIA DEPT, DOTHAN, AL 36305-1056
(334) 794-5000
Mailing address
PO BOX 934399, ATLANTA, GA 31193-0001
(334) 794-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00012799
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00012799
AL
Other
Enumeration date
01/19/2006
Last updated
10/08/2007
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