FAMILY PRACTICE SPECIALIST, PC
Medical Practice at Avalon Ave, Muscle Shoals, AL

License number
Alabama 10486
Category
Medical Practice
Type
Legal Medicine
Owner
Name: DR. KENNETH D KISER MD
Title: OWNER
Phone: (256) 381-2161
Address
Address
203 Avalon Ave SUITE 350, Muscle Shoals, AL 35661
National Provider ID: 1194904284
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Family Practice Specialist, PC

Muscle Shoals, AL

Industry:
MEDICAL SERVICES
Registration:
Aug 6, 2007
State ID:
253-820
Business type:
Domestic Professional Corporation
Formation place:
Lauderdale County
Incorporator:
Jake Culotta (incorporator)
Agent:
Kenneth D Kiser,Muscle Shoals, AL 35661 (Physical)

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