Provider Demographics
NPI:1043380900
Name:VARLEY, KENNETH G (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:G
Last Name:VARLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7500 HUGH DANIEL DR STE 360
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7144
Mailing Address - Country:US
Mailing Address - Phone:205-995-9967
Mailing Address - Fax:205-995-0635
Practice Address - Street 1:7500 HUGH DANIEL DR STE 360
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7144
Practice Address - Country:US
Practice Address - Phone:205-995-9967
Practice Address - Fax:205-995-0635
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL19582208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALB92369Medicare UPIN