Individual
KATHRYN KASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6202
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40965
AL
208M00000X
Hospitalist Physician
Primary
40965
AL
208M00000X
Hospitalist Physician
ME159332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116538800
—
FL
01
—
ARU0H
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/10/2017
Last updated
02/10/2023
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