Kezar, Edwin P.

Kezar, Edwin P. is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kezar, Edwin P. can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-6804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 16145 Alabama

Profile Details

NPI number 1174529176
LBN Legal business name Kezar, Edwin P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174529176 NPPES
Alabama MEDICAID 000084088

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