Kibun Health Pllc | |
2236 Cahaba Valley Dr Ste 206a Birmingham AL 35242-2625 | |
(205) 583-6661 | |
Not Available |
Full Name | Kibun Health Pllc |
---|---|
Speciality | Clinic/Center |
Location | 2236 Cahaba Valley Dr Ste 206a, Birmingham, Alabama |
Authorized Official Name and Position | Phillip Smith (DIR.) |
Authorized Official Contact | 2055836661 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kibun Health Pllc Po Box 18957 Charlotte NC 28218-0957 Ph: () - | Kibun Health Pllc 2236 Cahaba Valley Dr Ste 206a Birmingham AL 35242-2625 Ph: (205) 583-6661 |
NPI Number | 1811688021 |
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Provider Enumeration Date | 05/18/2023 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 9931560836 |
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Medicare Enrollment ID | O20230725001411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811688021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Phillip Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427404193 PECOS PAC ID: 7416243126 Enrollment ID: I20210505000936 |
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