Ricky L Fennell MD

NPI 1689618357 - Internal Medicine - 207RC0000X

NPI Details
NPI 1689618357
Gender Male
Enumeration Date 06/15/2006
Last Updated 07/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
619 19TH STREET SOUTH
BIRMINGHAM AL, 35233, US
Phone (205) 934-4011
Fax
Business Location
PO BOX 55310
BIRMINGHAM AL, 35255-5310, US
Phone (205) 731-9701
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Alabama
License Number 21526
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According to our database, Ricky L Fennell MD NPI is 1689618357, taxonomy code is 207RC0000X and license number is 21526, license state is located at Alabama. Ricky L Fennell MD physically located at 619 19th Street South, Birmingham AL, 35233. NPI Number Ricky L Fennell MD has the Individual type.

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1689618357 NPI number is provided on an as is basis without warranty of any kind. 1689618357 is maintained by the National Plan & Provider Enumeration System. The contents of Ricky L Fennell MD are for informational purposes only.