Individual
KENNETH L MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9107
(205) 939-9821
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 934-3795
(205) 975-2499
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
23798
AL
2080P0205X
Pediatric Endocrinology Physician
M-17082
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932780
—
AL
05
—
009932800
—
AL
Enumeration date
08/15/2006
Last updated
06/05/2023
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