Provider Demographics
NPI:1053355743
Name:KALMBACHER, KRISTIN B (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:B
Last Name:KALMBACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 N BANCROFT ST
Mailing Address - Street 2:SUITE A2
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2444
Mailing Address - Country:US
Mailing Address - Phone:251-517-1050
Mailing Address - Fax:251-517-1051
Practice Address - Street 1:100 N BANCROFT ST
Practice Address - Street 2:SUITE A2
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2444
Practice Address - Country:US
Practice Address - Phone:251-517-1050
Practice Address - Fax:251-517-1051
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD31653207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG52989Medicare UPIN
CA00A815600Medicare ID - Type Unspecified