Individual
BARRY KENNEDY RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 10TH AVE S STE 305, BIRMINGHAM, AL 35205-1248
(205) 939-7100
(205) 939-7100
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 558-3484
(205) 930-2158
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
0101272859
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.21024
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41301
HEALTHSPRING OF ALABAMA
AL
01
—
E33965
VIVA
AL
Enumeration date
07/09/2006
Last updated
05/20/2022
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