Kimberly    Kelly    NP
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1487815346
Tax ID
363966745
Effective Date
5/29/2024
Last Updated
5/30/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
1647 N McFarland Blvd Suite A1
Tuscaloosa, AL 35406
United States
Phone
877-448-3627 (Phone)
Billing Details
Address
1647 N McFarland Blvd
Suite A1
Tuscaloosa, AL 35406
Billing Phone
877-448-3627
Specialty Type
Nurse Practitioner
Map
Address