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Individual

KATHERINE KITE IVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585
Mailing address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1630
AL
363A00000X
Physician Assistant
Primary
PA.1455
AL
363A00000X
Physician Assistant
TA.1872
AL

Other

Enumeration date
12/19/2018
Last updated
05/05/2025
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