Kenneth Leonard Todd in Dothan - Specialist

Kenneth Leonard Todd - NPI 1215913025

Kenneth Leonard Todd is a Specialist in Dothan, Alabama. Kenneth Leonard Todd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth Leonard Todd is 1215913025. The last update date is 2012-02-15.

Kenneth Leonard Todd's current location address is 3280 Ross Clark Cir, Dothan, Alabama. You can contact this provider via phone number 3346789494 and fax number 3346788878. The mailing address for Kenneth Leonard Todd is 3280 Ross Clark Cir, Dothan, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Leonard Todd
Address 3280 Ross Clark Cir, Dothan, Alabama
Phone Number 3346789494
Fax Number 3346788878
Sole Proprietor Y
Credentials M.D., FACP

NPI Number Detail

NPI Number 1215913025
Provider Enumeration Date 2005-12-22
Last Updated Date 2012-02-15

Provider Mailing Address Detail

Address 3280 Ross Clark Cir
City Dothan
State Alabama (AL)
Post Code 363033040
Phone Number 3346789494
Fax Number 3346788878

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 15348
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
04-01952 AL UNITED HEALTHCARE ID#
51077969 AL BLUECROSS BLUESHIELD ID#

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FAQs about Kenneth Leonard Todd

What is the unique 10-digit identifier code assigned to Kenneth Leonard Todd by the Centers for Medicare & Medicaid Services?

The Kenneth Leonard Todd has been issued the NPI (National Provider Identifier) 1215913025 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kenneth Leonard Todd is physically located?

The Kenneth Leonard Todd is situated at the following address: 3280 Ross Clark Cir, Dothan, AL 363033040.

What is Kenneth Leonard Todd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Leonard Todd is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date was the 1215913025 assigned to Kenneth Leonard Todd?

The Kenneth Leonard Todd was issued its 1215913025 on 2005-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kenneth Leonard Todd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Leonard Todd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-15.

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