Provider Demographics
NPI:1578643938
Name:HOSIER, KEEHN V (MD)
Entity Type:Individual
Prefix:
First Name:KEEHN
Middle Name:V
Last Name:HOSIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BEACON PKWY W
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3102
Mailing Address - Country:US
Mailing Address - Phone:205-715-5910
Mailing Address - Fax:205-715-5928
Practice Address - Street 1:2467 JOHN HAWKINS PKWY
Practice Address - Street 2:SUITE 501
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3538
Practice Address - Country:US
Practice Address - Phone:205-682-4480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL27645207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G54794Medicare UPIN