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Organization

NAKI PEDIATRICS & ADOLESCENT

Active
Parent organization
NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PC
Authorized official
CHRISTOPHER KIRYA MD (PRESIDENT)
(256) 543-0111
Entity
Organization

Contact information

Practice address
410 BAY ST, GADSDEN, AL 35901-5108
(256) 543-0111
(256) 543-2907
Mailing address
410 BAY ST, NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PC, GADSDEN, AL 35901-0000
(256) 543-0111
(256) 543-2907

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
8282
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51020868
BCBS
AL
05
529902470
AL
Enumeration date
11/17/2007
Last updated
07/14/2008
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