Kenneth  E  Rose    MD
Contract Details
Helen Keller Hospital
Facility name
Provider ID
P000001497
NPI
1215921978
Tax ID
630288825
Effective Date
7/15/2011
Last Updated
6/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_023
Location Details
Address
2400 East Avalon Avenue
Muscle Shoals, AL 35661
United States
County
Colbert
Phone
2563860808 (Phone)
Billing Details
Address
P.O. Box 610
Sheffield, AL 35660
Billing Phone
2563864005
Specialty Type
Internal Medicine
Map
Address