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General NPI Number Information
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NPI Number | 1831225838
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Entity Type | Individual
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Provider Name | KEVIN MEERS KENNEDY MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 1515 6TH AVE S COOPER GREEN HOSPITAL
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1601
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Country | US
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Telephone | 205-930-3612
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Fax | 205-930-3322
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Provider Business Mailing Address
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Address Line | PO BOX 55962
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5962
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Country | US
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Telephone | 205-930-3612
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Fax | 205-930-3322
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 18754
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License Number State | AL
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