Individual
MS. KATHY TYLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
806 SAINT VINCENTS DR STE 450, BIRMINGHAM, AL 35205-1684
(205) 986-5200
(205) 986-5250
Mailing address
806 ST. VINCENT'S DRIVE, POB 4, SUITE 450, BIRMINGHAM, AL 35205-1684
(205) 986-5200
(205) 986-5250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-047763
AL
363LF0000X
Family Nurse Practitioner
1-047763
AL
Other
Enumeration date
06/09/2006
Last updated
06/15/2021
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