Individual
KIMBERLY A. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3701 DAUPHIN ST, MOBILE, AL 36608-1756
(251) 341-3368
(251) 341-3371
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00027234
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003855
BLUE CROSS OF AL PROV #
AL
01
—
7216824
AETNA PROVIDER #
AL
01
—
I56767
HEALTHSPRING PROVIDER #
AL
Enumeration date
05/10/2006
Last updated
11/19/2007
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