Individual
KENNETH OBIEFUNA KENNETH-NWOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 581-7155
Mailing address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 581-7155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.41196
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD.41196
AL
Other
Enumeration date
06/27/2017
Last updated
07/28/2020
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