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Individual
DR. CLINT DANIEL KINGSLEY
Active
Individual
DR. CLINT DANIEL KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25035
AL
207RH0003X
Hematology & Oncology Physician
49477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102961
—
AL
05
—
104703
—
AL
05
—
1528883
—
TN
01
—
510-50070
BCBS OF ALABAMA
AL
01
—
51012794
BLUE CROSS OF ALABAMA
AL
01
—
510I110169
MEDICARE NUMBER
AL
01
—
51547906
BLUE CROSS OF ALABAMA
AL
05
—
528701110
—
AL
01
—
CA0084
RR MEDICARE
AL
01
—
P00657989
RR MEDICARE NUMBER
AL
Enumeration date
06/27/2006
Last updated
01/27/2023
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