Todd, Kenneth Leonard

Todd, Kenneth Leonard is an sole proprietor health care provider with primary practice located at 3280 Ross Clark Cir , Dothan AL 36303-3040. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Todd, Kenneth Leonard can be contacted via phone (334) 678-9494.

Contact Information

Primary practice address
3280 Ross Clark Cir Dothan AL 36303-3040
Fax: (334) 678-8878
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15348 Alabama

Profile Details

NPI number 1215913025
LBN Legal business name Todd, Kenneth Leonard
Credentials M.D., FACPH, RPVI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Feb 15th, 2012 - about 13 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 1215913025 NPPES
Alabama Other 04-01952 UNITED HEALTHCARE ID#
Alabama Other 51077969 UNITED HEALTHCARE ID#

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