Provider Demographics
NPI:1700838638
Name:KRICHEV, ALICIA KRISTEN (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:KRISTEN
Last Name:KRICHEV
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 1:2004 WILLIS ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-337-2164
Mailing Address - Fax:
Practice Address - Street 1:5540 HIGHWAY 431 S
Practice Address - Street 2:
Practice Address - City:BROWNSBORO
Practice Address - State:AL
Practice Address - Zip Code:35741-9771
Practice Address - Country:US
Practice Address - Phone:256-533-3003
Practice Address - Fax:256-533-3013
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051556200KRIMedicare ID - Type Unspecified
I32631Medicare UPIN