Roman, Kimberly Waynette
Roman, Kimberly Waynette is an individual health care provider with primary practice located at 1924C Dauphin Island Pkwy , Mobile AL 36605-3004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roman, Kimberly Waynette can be contacted via phone (251) 476-5733.Contact Information
Primary practice address
1924C Dauphin Island Pkwy
Mobile AL 36605-3004
Phone: (251) 476-5733
Fax: (251) 470-7249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.38543 | Alabama |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 38543 | Alabama |
Profile Details
| NPI number | 1104893817 |
|---|---|
| LBN Legal business name | Roman, Kimberly Waynette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 14th, 2023 - about 3 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 | 1104893817 | NPPES |
| Alabama | MEDICAID | 239328 |
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