Provider Demographics
NPI:1104980101
Name:STRICKLAND, KENNETH BOYD (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:BOYD
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 CENTURY ST NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1901
Mailing Address - Country:US
Mailing Address - Phone:256-830-4637
Mailing Address - Fax:256-830-4638
Practice Address - Street 1:4935 CENTURY ST NW
Practice Address - Street 2:SUITE 1
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1901
Practice Address - Country:US
Practice Address - Phone:256-830-4637
Practice Address - Fax:256-830-4638
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1067111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68583Medicare UPIN