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Individual

DR. KEVIN LEONARD SUBLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.F.A.C.C.

Contact information

Practice address
3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL 35010-3393
(256) 234-2644
(256) 234-2704
Mailing address
3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL 35010-3393
(256) 234-2644
(256) 234-2704

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00015380
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009903660
AL
Enumeration date
09/06/2006
Last updated
09/29/2014
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