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
Phone: (334) 678-9494
Fax: (334) 678-8878
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215913025 | NPPES |
Alabama | Other | 04-01952 | UNITED HEALTHCARE ID# |
Alabama | Other | 51077969 | UNITED HEALTHCARE ID# |
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