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Individual

ALAN FREDERICK KITCHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 MEDICAL PARK DR E, ST. VINCENT'S EAST, BIRMINGHAM, AL 35235-3401
(205) 545-9530
(205) 545-9529
Mailing address
2016 STONEGATE TRL, SUITE 112, VESTAVIA HILLS, AL 35242-2260
(205) 545-9530
(205) 545-9529

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21009
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912396
AL
05
009983840
AL
01
051543510
BCBS
AL
01
351890800
DEPT OF LABOR
AL
01
51505565
BCBS
AL
05
529905830
AL
05
529910000
AL
01
C141
BCBS
AL
01
CH5239
RR MEDICARE
AL
Enumeration date
06/06/2006
Last updated
06/27/2008
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