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1952936163
KENNETH LONG
BIRMINGHAM, AL
NPI
1952936163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL 45663)
Enumeration Date
2020-03-08
Last Update Date
2023-03-31
Business Address
KENNETH LONG MD
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
KENNETH LONG MD
1720 2ND AVE S # BDB321
BIRMINGHAM, AL 35294-0004
Phone number: 205-934-4642
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