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1336459437
KENNETH ELISHA CONN
ANNISTON, AL
NPI
1336459437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-105093)
Enumeration Date
2010-10-07
Last Update Date
2015-11-20
Business Address
-- KENNETH ELISHA CONN CRNP
400 E 10TH ST
ANNISTON, AL 36207-4716
Phone number: 256-235-5211
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Mailing Address
-- KENNETH ELISHA CONN CRNP
13365 AL HIGHWAY 9
PIEDMONT, AL 36272-7723
Phone number: 256-435-5394
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