Individual
MR. KENNETH WAYNE LANGLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 840-3512
Mailing address
198 GRAHAM DR, BOAZ, AL 35956-4747
(256) 593-4125
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-061444
AL
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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