Individual
KENNIETH CHARLES MCCOLLOUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 11TH AVE S STE 200, BIRMINGHAM, AL 35205
(205) 930-8339
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29754
AL
Other
Enumeration date
07/22/2008
Last updated
07/30/2018
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