Nunnally, Frederick Kent
Nunnally, Frederick Kent is an sole proprietor health care provider with primary practice located at 4550 W Main St , Dothan AL 36305-1130. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nunnally, Frederick Kent can be contacted via phone (334) 793-6673.Contact Information
Primary practice address
4550 W Main St
Dothan AL 36305-1130
Phone: (334) 793-6673
Fax: (877) 413-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00016477 | Alabama |
Profile Details
| NPI number | 1689636086 |
|---|---|
| LBN Legal business name | Nunnally, Frederick Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Mar 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689636086 | NPPES |
| Alabama | MEDICAID | 000031972 | |
| Alabama | Other | 174014500 | |
| Alabama | Other | 040010260 |
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