KENNETH L TODD III, M.D., FACPH, RPVI, Specialist DOTHAN, AL - Profile
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KENNETH L TODD III, M.D., FACPH, RPVI – NPI #1215913025
Specialist

NPI Profile for Dr KENNETH L TODD III in DOTHAN, AL.

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Contact Information

KENNETH L TODD III, M.D., FACPH, RPVI
3280 ROSS CLARK CIR
DOTHAN, AL  36303-3040
 Phone: 334-678-9494
 Fax: 334-678-8878
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Specialist

 174400000X
Indicates primary specialty

NPI Profile & details for KENNETH L TODD III · (Male)

NPI Number 1215913025
Status Active
Credentials M.D., FACPH, RPVI
Entity Individual
Enumeration date 12/22/2005
Last updated 02/15/2012 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 15348
  • AL Other 51077969 BLUECROSS BLUESHIELD ID#
  • AL Other 04-01952 UNITED HEALTHCARE ID#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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