Individual
KENNETH AARON JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 PATTON CHAPEL RD, SUITE 100, HOOVER, AL 35216-5782
(205) 783-5511
(205) 978-7776
Mailing address
2010 PATTON CHAPEL RD, SUITE 100, HOOVER, AL 35216-5782
(205) 783-5511
(205) 978-7776
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00011096
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51005575
BCBS
AL
01
—
51107059
BCBS
—
05
—
9910112
—
AL
Enumeration date
07/16/2006
Last updated
01/18/2017
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