Provider Demographics
NPI:1154950707
Name:GUICE, KENNETH CORY (DO)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:CORY
Last Name:GUICE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0001
Mailing Address - Country:US
Mailing Address - Phone:205-934-4328
Mailing Address - Fax:205-934-1721
Practice Address - Street 1:1900 UNIVERSITY BLVD TINSLEY HARRISON TOWER SUITE 422
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-3438
Practice Address - Country:US
Practice Address - Phone:205-934-4328
Practice Address - Fax:205-934-1721
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALDO.2839207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program