Middlebrooks, Kenneth Mark

Middlebrooks, Kenneth Mark is an sole proprietor health care provider with primary practice located at 100 Pilot Medical Drive Suite 125, Birmingham AL 35235-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Middlebrooks, Kenneth Mark can be contacted via phone (205) 380-0848.

Contact Information

Primary practice address
100 Pilot Medical Drive Suite 125 Birmingham AL 35235-3430
Phone: (205) 380-0848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 13413 Alabama

Profile Details

NPI number 1891742706
LBN Legal business name Middlebrooks, Kenneth Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jun 20th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891742706 NPPES
Alabama MEDICAID 000089762
Alabama Other 631084624

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