Individual
KIM-NGAN P FELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213-1920
(205) 592-5135
Mailing address
12221 MERIT DRIVE, SUITE 910, DALLAS, TX 75251
(469) 374-3850
(469) 374-3851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N6292
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2008
Last updated
11/28/2012
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