Individual
DR. KEITH CANFIELD SILLIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2870 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35243-2927
(205) 824-1257
(205) 824-3629
Mailing address
2229 BLUE RIDGE BLVD, BIRMINGHAM, AL 35226-3133
(205) 979-6152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-928-TA-495
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51060858
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/06/2006
Last updated
07/08/2007
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