Individual
MRS. KATHRYN PETRICEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9583
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
1-155308
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-155308
AL
Other
Enumeration date
01/28/2022
Last updated
01/22/2025
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