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1154358554
KENNY L. DODD
MONTGOMERY, AL
NPI
1154358554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-058248)
Enumeration Date
2006-06-28
Last Update Date
2010-06-17
Business Address
Mr. KENNY L. DODD CRNA
1725 PINE ST
MONTGOMERY, AL 36106-1109
Phone number: 334-279-1450
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Mailing Address
Mr. KENNY L. DODD CRNA
PO BOX 235019
MONTGOMERY, AL 36123-5019
Phone number: 334-279-1450
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