Provider Demographics
NPI:1093742546
Name:KIMBERLIN, DEBORA F (MD)
Entity Type:Individual
Prefix:
First Name:DEBORA
Middle Name:F
Last Name:KIMBERLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18061207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009948085Medicaid
AL009949745Medicaid
AL009949755Medicaid
AL009970515Medicaid
AL051521080OtherBLUE CROSS
AL051521082OtherBLUE CROSS
AL009948095Medicaid
AL051554450Medicaid
AL009949765Medicaid
AL009961375Medicaid
AL009970505Medicaid
AL009982435Medicaid
AL051093927OtherBLUE CROSS
AL051521079OtherBLUE CROSS
AL009944425Medicaid
AL051521078OtherBLUE CROSS
AL009971445Medicaid
AL051521081OtherBLUE CROSS
AL009949725Medicaid
AL009949735Medicaid
AL051554450Medicaid