Edward  U  Kissel  III  MD
Contract Details
St. Vincent's Orthopedics, P.C.
Facility name
Provider ID
P000006662
NPI
1205834686
Tax ID
364507126
Effective Date
1/1/2012
Last Updated
6/9/2016
Direct Contract
Yes
Term Date
3/5/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2700 10th Avenue South Building 2, Suite 200
Birmingham, AL 35205
United States
County
Jefferson
Phone
2059337838 (Phone)
Billing Details
Address
2700 10th Avenue South
Building 2, Suite 200
Birmingham, AL 35205
Billing Phone
2059337838
Specialty Type
Surgery, Orthopedic
Map
Address