KENNETH FRANKLIN ODOM

DOTHAN, AL
NPI1982639738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA.504)
Enumeration Date2006-07-11
Last Update Date2015-10-29
Business Address
-- KENNETH FRANKLIN ODOM PA
1500 ROSS CLARK CIR
DOTHAN, AL 36301-4754
Phone number: 334-793-2663
Mailing Address
-- KENNETH FRANKLIN ODOM PA
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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