| 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 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Medicare PECOS PAC ID | 9931560836 |
|---|---|
| Medicare Enrollment ID | O20230725001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811688021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427404193 PECOS PAC ID: 7416243126 Enrollment ID: I20210505000936 |
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