Kendra D Outler, MD | |
619 19th St S, Birmingham, AL 35249-0001 | |
(205) 731-9701 | |
Not Available |
Full Name | Kendra D Outler |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 619 19th St S, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629191747 | NPI | - | NPPES |
114989 | Medicaid | AL | |
114991 | Medicaid | AL | |
114988 | Medicaid | AL | |
114987 | Medicaid | AL | |
1127426 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 14642R (Louisiana) | Primary |
207L00000X | Anesthesiology | 29842 (Alabama) | Secondary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
---|---|
Kendra D Outler, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: () - | Kendra D Outler, MD 619 19th St S, Birmingham, AL 35249-0001 Ph: (205) 731-9701 |
Janyce M Sanford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1806 Sixth Avenue South, Birmingham, AL 35249 Phone: 205-975-7389 Fax: 205-975-4662 | |
Dr. Elizabeth Holcombe Adams, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 218 Devon Dr, Birmingham, AL 35209 Phone: 662-368-8602 | |
Alan Frederick Kitchens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 50 Medical Park Dr E, St. Vincent's East, Birmingham, AL 35235 Phone: 205-545-9530 Fax: 205-545-9529 | |
John Gullett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5038 | |
Dr. Edward Payson Daugherty, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 Narrows Pkwy, Suite 110, Birmingham, AL 35242 Phone: 205-444-9550 Fax: 205-314-3360 | |
Mary H Maddox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9587 Fax: 205-975-4623 | |
Paul Allen Lockhart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-4011 |