Alford, Kenneth Dwain

Alford, Kenneth Dwain is an sole proprietor health care provider with primary practice located at 1269 Duvall Rd Suite 2, Beaver Dam KY 42320. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alford, Kenneth Dwain can be contacted via phone (270) 274-4875.

Contact Information

Primary practice address
1269 Duvall Rd Suite 2 Beaver Dam KY 42320
Fax: (270) 274-2418
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5071 Kentucky

Profile Details

NPI number 1922169259
LBN Legal business name Alford, Kenneth Dwain
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922169259 NPPES
Kentucky MEDICAID 60050713

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