Meadows, Kenyon M.

Meadows, Kenyon M. is an individual health care provider with primary practice located at 4247 W. Main Street , Dothan AL 36305-1062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Meadows, Kenyon M. can be contacted via phone (334) 793-3212.

Contact Information

Primary practice address
4247 W. Main Street Dothan AL 36305-1062
Phone: (334) 793-3212
Fax: (334) 671-0484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 00027449 Alabama

Profile Details

NPI number 1891726451
LBN Legal business name Meadows, Kenyon M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 6th, 2022 - about 3 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 1891726451 NPPES
Georgia MEDICAID 400647716A
Georgia Other 510-10021
Georgia MEDICAID 276328100
Georgia Other 1831385632
Georgia MEDICAID 1891726451
Georgia Other P00348790

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