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1811911985
KENNETH B WAITES
BIRMINGHAM, AL
NPI
1811911985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: AL 101513)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- KENNETH B WAITES MD
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Phone number: 205-934-6600
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Mailing Address
-- KENNETH B WAITES MD
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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