Healthcare Provider Details

I. General information

NPI: 1104980101
Provider Name (Legal Business Name): KENNETH BOYD STRICKLAND DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4935 CENTURY ST NW SUITE 1
HUNTSVILLE AL
35816-1901
US

IV. Provider business mailing address

4935 CENTURY ST NW SUITE 1
HUNTSVILLE AL
35816-1901
US

V. Phone/Fax

Practice location:
  • Phone: 256-830-4637
  • Fax: 256-830-4638
Mailing address:
  • Phone: 256-830-4637
  • Fax: 256-830-4638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1067
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: