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NPI Code Detail

MEDICARE: DR. KIMBERLY MURRAY DUNAGAN O.D.

MEDICARE: DR. KIMBERLY MURRAY DUNAGAN O.D.
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
1152W00000XOptometristS-844-TA-357AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699890160
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY MURRAY DUNAGAN O.D.
Provider Business Mailing Address
First Line : 1811 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-937-7631
Fax Number : 251-937-7517
Provider Business Practice Location Address
First Line : 1811 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-937-7631
Fax Number : 251-937-7517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 01/23/2015

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