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General NPI Number Information
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NPI Number | 1447713490
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Entity Type | Individual
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Provider Name | KRISTIN NICHOLE LE MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 200 WILDWOOD PKWY STE 130
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City | HOMEWOOD
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State | AL
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Zip | 35209-7300
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Country | US
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Telephone | 205-870-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 7TH AVE S FL 4
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1711
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Country | US
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Telephone | 205-638-9193
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME166145
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License Number State | FL
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