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1720243421
KENNIETH CHARLES MCCOLLOUGH
BIRMINGHAM, AL
NPI
1720243421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AL 29754)
Enumeration Date
2008-07-22
Last Update Date
2018-07-30
Business Address
KENNIETH CHARLES MCCOLLOUGH M.D.
1201 11TH AVE S STE 200
BIRMINGHAM, AL 35205
Phone number: 205-930-8339
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Mailing Address
KENNIETH CHARLES MCCOLLOUGH M.D.
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number:
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