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Individual

DR. KEVIN MEERS KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 6TH AVE S, COOPER GREEN HOSPITAL, BIRMINGHAM, AL 35233-1601
(205) 930-3612
(205) 930-3322
Mailing address
PO BOX 55962, BIRMINGHAM, AL 35255-5962
(205) 930-3612
(205) 930-3322

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18754
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009915775
AL
01
051513724
BCBS
AL
Enumeration date
02/26/2007
Last updated
12/11/2012
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