Kennieth Charles Mccollough in Birmingham - Sports Medicine
Kennieth Charles Mccollough - NPI 1720243421
Kennieth Charles Mccollough is a Sports Medicine in Birmingham, Alabama. Kennieth Charles Mccollough practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kennieth Charles Mccollough is 1720243421. The last update date is 2018-07-30.
Kennieth Charles Mccollough's current location address is 1201 11th Ave S Ste 200, Birmingham, Alabama. You can contact this provider via phone number 2059308339. The mailing address for Kennieth Charles Mccollough is 1201 11th Ave S Ste 200, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kennieth Charles Mccollough |
|---|---|
| Address | 1201 11th Ave S Ste 200, Birmingham, Alabama |
| Phone Number | 2059308339 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720243421 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 1201 11th Ave S Ste 200 |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 35205 |
| Phone Number | 2059308339 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 29754 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique 10-digit identification code issued to Kennieth Charles Mccollough by the Centers for Medicare & Medicaid Services?
The Kennieth Charles Mccollough has been assigned the NPI (National Provider Identifier) 1720243421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kennieth Charles Mccollough?
The Kennieth Charles Mccollough is physically situated at 1201 11Th Ave S Ste 200, in the city of Birmingham, state of AL, with the postal code 35205.
What is Kennieth Charles Mccollough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kennieth Charles Mccollough is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
On what date was the 1720243421 assigned to Kennieth Charles Mccollough?
The Kennieth Charles Mccollough was issued its 1720243421 on 2008-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kennieth Charles Mccollough last refreshed?
The information related to the Kennieth Charles Mccollough, including its address, specialty, and other relevant details, was last updated on 2018-07-30.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC