person
Kimberly M Fagan, MD
Specialist in Birmingham, Alabama
NPI 1033200167

Kimberly M Fagan is a Specialist based in Birmingham, AL. Kimberly M Fagan practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Kimberly M Fagan is 1033200167 and holds a License No. 14105 (Alabama).

The current practice location address for Kimberly M Fagan is 3125 Independence Dr, Birmingham, AL and can be reached out via phone at 205-879-8206 and via fax at 205-271-3075.

Location: 3125 Independence Dr, Birmingham, AL, 35209-4159
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Provider Profile Details
NPI Number
1033200167
Provider Name
Kimberly M Fagan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3125 Independence Dr, Birmingham, AL, 35209-4159
Phone Number
205-879-8206
Fax Number
205-271-3075
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I621 01 AL MEDICARE ID NUMBER
institution
Provider Business Practice Location Address Details
Address
3125 Independence Dr
City
State
Zip
35209-4159
Phone Number
205-879-8206
Fax Number
205-271-3075
person
Provider Business Mailing Address Details
Address
3125 Independence Dr
City
State
Zip
35209-4159
Phone Number
205-879-8206
Fax Number
205-271-3075
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
14105 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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