Mccollough, Kennieth Charles
Mccollough, Kennieth Charles is an sole proprietor health care provider with primary practice located at 1201 11Th Ave S Ste 200 , Birmingham AL 35205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mccollough, Kennieth Charles can be contacted via phone (205) 930-8339.Contact Information
Primary practice address
1201 11Th Ave S Ste 200
Birmingham AL 35205
Phone: (205) 930-8339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 29754 | Alabama |
Profile Details
| NPI number | 1720243421 |
|---|---|
| LBN Legal business name | Mccollough, Kennieth Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Jul 30th, 2018 - about 6 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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