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Dr. Kenneth Leonard Todd III, MD,FACPH,RPVI
Specialist in Dothan, Alabama
NPI 1215913025

Kenneth Leonard Todd III is a Specialist based in Dothan, AL. Kenneth Leonard Todd III practices in Dothan, AL and has the professional credentials of MD,FACPH,RPVI. The NPI Number for Kenneth Leonard Todd III is 1215913025 and holds a License No. 15348 (Alabama).

The current practice location address for Kenneth Leonard Todd III is 3280 Ross Clark Cir, Dothan, AL and can be reached out via phone at 334-678-9494 and via fax at 334-678-8878.

Location: 3280 Ross Clark Cir, Dothan, AL, 36303-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215913025
Provider Name
Kenneth Leonard Todd III
Credential
MD,FACPH,RPVI
Provider Entity Type
Individual
Gender
Male
Address
3280 Ross Clark Cir, Dothan, AL, 36303-3040
Phone Number
334-678-9494
Fax Number
334-678-8878
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04-01952 01 AL UNITED HEALTHCARE ID#
51077969 01 AL BLUECROSS BLUESHIELD ID#
institution
Provider Business Practice Location Address Details
Address
3280 Ross Clark Cir
City
Dothan
State
Alabama
Zip
36303-3040
Phone Number
334-678-9494
Fax Number
334-678-8878
person
Provider Business Mailing Address Details
Address
3280 Ross Clark Cir
City
Dothan
State
Alabama
Zip
36303-3040
Phone Number
334-678-9494
Fax Number
334-678-8878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15348 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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