Individual
DR. KIMBALL IVAN MAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CARRAWAY BLVD, CARRAWAY PHYSICIANS PLAZA SUITE 200, BIRMINGHAM, AL 35234-1913
(205) 502-3600
(205) 502-3601
Mailing address
1600 CARRAWAY BLVD, CARRAWAY PHYSICIANS PLAZA SUITE 200, BIRMINGHAM, AL 35234-1913
(205) 502-3602
(205) 502-3601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AL22133
AL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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