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Individual

BARBARA ELZBIETA KUCEWICZ KOPYTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
312 SAND MOUNTAIN DRIVE SOUTHEAST, ALBERTVILLE, AL 35950
(256) 891-4577
(256) 891-4919
Mailing address
312 SAND MOUNTAIN DRIVE SOUTHEAST, ALBERTVILLE, AL 35950
(256) 891-4577
(256) 891-4919

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00021174
AL
207R00000X
Internal Medicine Physician
MD062147L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009951470
AL
01
051501031
BCBS
AL
Enumeration date
10/25/2006
Last updated
07/08/2007
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