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Kevin
O' Brien
MD
Contract Details
O'Brien Plastic Surgery
Facility name
Provider ID
P000001273
NPI
1992761019
Tax ID
631117324
Effective Date
7/15/1995
Last Updated
4/17/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2022 Brookwood Medical Center Drive Suite 210
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058792160
(
Phone
)
Billing Details
Address
2022 Brookwood Medical Center Drive
Suite 210
Birmingham, AL 35209
Billing Phone
2058792160
Specialty Type
Surgery, Plastic & Reconstructive
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Address