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Individual

MRS. PAMELA KULBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3536 VANN RD STE B, BIRMINGHAM, AL 35235-3207
(205) 991-1830
(205) 991-1865
Mailing address
3536 VANN RD STE B, BIRMINGHAM, AL 35235-3207
(205) 838-3200
(888) 206-1336

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD13742
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932437
AL
05
009932438
AL
05
009932439
AL
05
009932441
AL
05
009933068
AL
01
51001316
BC GREYSTONE
AL
01
51001317
BC MONTCLAIR
AL
01
51001318
BC SHELBY
AL
01
51001321
BC 280
AL
01
51001322
BC SYLACAUGA
AL
Enumeration date
11/15/2005
Last updated
06/20/2024
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