Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1067 | AL |
NPI | 1104980101 |
---|---|
Provider Name | Dr. Kenneth Boyd Strickland |
First Address | Huntsville, AL 35816-1901 |
Second Address | Huntsville, AL 35816-1901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68583 | (02) | AL |