Individual
KAY DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19190
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000079998
BLUE CROSS
AL
05
—
000079998
—
AL
01
—
051502085
BC FEDERAL EHBP
AL
01
—
260052089
RAILROAD MEDICARE
AL
01
—
330500447
MEDICAID REHAB
AL
01
—
51598810
BLUE CROSS
AL
01
—
51598813
BLUE CROSS
AL
01
—
51598821
BLUE CROSS
AL
01
—
G78876
VIVA
AL
Enumeration date
06/13/2006
Last updated
06/29/2023
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