Individual
MS. KAY PARKER-PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
1 INDEPENDENCE PLZ, SUITE 900, BIRMINGHAM, AL 35209-2629
(205) 271-8000
(205) 271-8022
Mailing address
1 INDEPENDENCE PLZ, SUITE 900, BIRMINGHAM, AL 35209-2629
(205) 271-8000
(205) 271-8022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-048723
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104170
—
AL
01
—
510I500083
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
—
01
—
515-46309
BLUE CROSS AND BLUE SHIELD OF ALABAMA UNIQUE PROVIDER ID NUMBER (UPIN)
AL
01
—
GROUP # P00617303
RAILROAD MEDICARE PART B
AL
Enumeration date
06/20/2007
Last updated
12/21/2010
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