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Kenny L. Dodd, CRNA

Nurse Anesthetist, Certified Registered in Montgomery, AL. Individual provider (NPI-1).

NPI number1154358554
StatusActive
Last updated in NPPESJun 17, 2010

Details

NPI
1154358554
Entity type
Individual (NPI-1)
Name
Mr. Kenny L. Dodd
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2006
Last updated
Jun 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered1-058248ALYes

Practice location

1725 Pine St
Montgomery, AL 36106-1109

Phone 334-279-1450 · Fax 334-395-4110

Mailing address

Po Box 235019
Montgomery, AL 36123-5019

Phone 334-279-1450 · Fax 334-395-4110

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