person
Kristi Martin Whitaker, PA
Surgical Physician Assistant in Tuscaloosa, Alabama
NPI 1134223365

Kristi Martin Whitaker is a Surgical Physician Assistant based in Tuscaloosa, AL and is specialized in Surgical. Kristi Martin Whitaker practices in Tuscaloosa, AL and has the professional credentials of PA. The NPI Number for Kristi Martin Whitaker is 1134223365 and holds a License No. PA-485 (Alabama).

The current practice location address for Kristi Martin Whitaker is 305 Paul Bryant Drive E, Tuscaloosa, AL and can be reached out via phone at 205-345-0192 and via fax at 205-247-2194.

Location: 305 Paul Bryant Drive E, Tuscaloosa, AL, 35401-2094
person
Provider Profile Details
NPI Number
1134223365
Provider Name
Kristi Martin Whitaker
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
305 Paul Bryant Drive E, Tuscaloosa, AL, 35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
Provider Enumeration Date
09/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51004327 01 AL BLUE CROSS BLUE SHIELD
009940341 05 AL
institution
Provider Business Practice Location Address Details
Address
305 Paul Bryant Drive E
City
State
Zip
35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
person
Provider Business Mailing Address Details
Address
305 Paul Bryant Drive E
City
State
Zip
35401-2094
Phone Number
205-345-0192
Fax Number
205-247-2194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-485 (Alabama)
Definition
Definition to come...
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