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Individual

KIRBY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117
(334) 279-9211
(334) 279-9925
Mailing address
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117
(334) 279-9211
(334) 279-9925

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24296
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51515287
BCBS
AL
Enumeration date
10/03/2006
Last updated
03/07/2023
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