Individual
DR. ELIZABETH ANN KIVUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1310 ALFORD AVE, HOOVER, AL 35226-3199
(205) 823-3461
(205) 978-3752
Mailing address
1310 ALFORD AVE, HOOVER, AL 35226-3199
(205) 823-3461
(205) 978-3752
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6222
AL
1223P0300X
Periodontics
DEN4234
ME
Other
Enumeration date
07/02/2012
Last updated
06/28/2016
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