Individual
KENYON M. MEADOWS
Active
Individual
KENYON M. MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
00027449
AL
2085R0001X
Radiation Oncology Physician
61801
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831385632
MEDICAID GROUP AL
AL
05
—
1891726451
—
AL
05
—
276328100
—
FL
05
—
400647716A
—
GA
01
—
510-10021
BCBS OF AL
AL
01
—
P00348790
RAILROAD MEDICARE PIN #
AL
Enumeration date
07/05/2006
Last updated
11/05/2024
Update your record
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