Healthcare Provider Details

I. General information

NPI: 1184658221
Provider Name (Legal Business Name): KATHRYN A BARKETT-BUCHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 19TH ST S
BIRMINGHAM AL
35249-1900
US

IV. Provider business mailing address

PO BOX 55823
BIRMINGHAM AL
35255-5823
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4680
  • Fax: 205-996-2254
Mailing address:
  • Phone: 205-996-2244
  • Fax: 205-996-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11367
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: