Individual
KEDRICK LAMAR CLEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 5TH PL, BIRMINGHAM, AL 35214-5618
(205) 542-3884
Mailing address
416 5TH PL, BIRMINGHAM, AL 35214-5618
(205) 542-3884
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
7415294
AL
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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