Kenneth Alan Addy Valid NPI
Individual provider · Pharmacist · Dothan, AL
- NPI
- 1568670743
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 10786 (AL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-19
- Last updated
- 2007-07-08
Practice location
2185 Reeves St
Dothan, AL 36303-2349
(334) 794-0623