Colburn, Kimbrell L
Colburn, Kimbrell L is an individual health care provider with primary practice located at 805 Saint Vincents Dr Suite 100, Birmingham AL 35205-1636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Colburn, Kimbrell L can be contacted via phone (205) 939-3699.Contact Information
Primary practice address
805 Saint Vincents Dr Suite 100
Birmingham AL 35205-1636
Phone: (205) 939-3699
Fax: (205) 939-0989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA7 | Alabama |
Profile Details
| NPI number | 1497722391 |
|---|---|
| LBN Legal business name | Colburn, Kimbrell L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Sep 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497722391 | NPPES |
| Alabama | MEDICAID | 42595 | |
| Alabama | Other | 51527784 |
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