Individual
DR. EDWIN P. KEZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6804
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084088
—
AL
Enumeration date
06/23/2005
Last updated
08/14/2019
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