Individual
DR. KENNETH DWAIN ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1269 DUVALL RD, SUITE 2, BEAVER DAM, KY 42320
(270) 274-4875
(270) 274-2418
Mailing address
PO BOX 155, BEAVER DAM, KY 42320-0155
(270) 274-4875
(270) 274-2418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60050713
—
KY
Enumeration date
12/12/2006
Last updated
07/08/2007
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