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NPI Code Detail

MEDICARE: DR. KENNETH BOTSFORD M.D.

MEDICARE:  DR. KENNETH  BOTSFORD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianMD00009303AL

General Provider Information

NPI Number : 1215901590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH BOTSFORD M.D.
Provider Business Mailing Address
First Line : 833 SAINT VINCENTS DR
Second Line : POB III SUITE 300
City : BIRMINGHAM
State : AL
Zip : 35205-1606
Country : US
Telephone Number : 205-918-4075
Fax Number : 205-918-1466
Provider Business Practice Location Address
First Line : 833 SAINT VINCENTS DR
Second Line : POB III SUITE 300
City : BIRMINGHAM
State : AL
Zip : 35205-1606
Country : US
Telephone Number : 205-918-4075
Fax Number : 205-918-1466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/09/2007

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Directions to “ DR. KENNETH BOTSFORD M.D.” Practice Location

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