Individual
DR. KIMBERLY WAYNETTE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1924C DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 476-5733
(251) 470-7249
Mailing address
1924C DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 476-5733
(251) 470-7249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.38543
AL
207QA0401X
Addiction Medicine (Family Medicine) Physician
38543
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239328
—
AL
Enumeration date
03/01/2006
Last updated
02/14/2023
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