Individual
KENNETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1720 2ND AVE S # BDB321, BIRMINGHAM, AL 35294-0004
(205) 934-4642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45663
AL
Other
Enumeration date
03/08/2020
Last updated
03/31/2023
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