Individual
KENT JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 HINKLE RD, CLANTON, AL 35045-8883
(205) 755-3799
Mailing address
1201 HINKLE RD, CLANTON, AL 35045-8883
(205) 755-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00003139
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3227
—
AL
Enumeration date
10/03/2008
Last updated
10/03/2008
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