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Individual

MRS. KRISTEN NICOLE MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1179 GREENMOR DR, BESSEMER, AL 35022-6445
(205) 481-8530
(205) 424-6543
Mailing address
995 9TH AVE SW, MEDICAL STAFF OFFICE, BESSEMER, AL 35022-4527
(205) 481-7312
(205) 481-7593

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1599
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
DO.1599
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185964
AL
Enumeration date
03/30/2012
Last updated
03/20/2017
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