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NPI Code Detail

MEDICARE: KIMBERLY CORNELIUS-PEACE MD

MEDICARE: KIMBERLY CORNELIUS-PEACE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20694MS
2207Q00000XFamily Medicine Physician27761AL

General Provider Information

NPI Number : 1134341019
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CORNELIUS-PEACE MD
Provider Business Mailing Address
First Line : PO BOX 55310
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35255-5310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 20TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2019
Country : US
Telephone Number : 205-801-5251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 06/04/2025

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Directions to “ KIMBERLY CORNELIUS-PEACE MD” Practice Location

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