Individual
KAYRA G CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-078659
AL
363L00000X
Nurse Practitioner
Primary
1078659
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517260
BLUE CROSS
AL
05
—
051554017
—
AL
01
—
P00101360
RAILROAD MEDICARE
AL
Enumeration date
06/13/2006
Last updated
06/28/2023
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